Individual provider Active NPI

Kelly Marie Sanders, PT

  • Physical Therapist
  • San Luis Obispo, CA
National Provider Identifier
1316978182
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24593 Issued in CA
Practice address
805 Aerovista PL
Suite 104
San Luis Obispo, CA 93401-7919
Phone
(805) 543-7771
Fax
(805) 543-7761
NPI assigned
Jul 6, 2006
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT24593 CA Primary

Addresses

Primary practice location

805 Aerovista PL
Suite 104
San Luis Obispo, CA 93401-7919

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT24593CAMDPhysical Therapist
24593CAMDPulmonary Rehabilitation Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Nov 24, 2003 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Current Accepting new patients
Athlon Physical Therapy, LLC Physical Therapist CurrentSince May 5, 2023 Accepting new patients
Specialized Physical Therapy of the Carolinas LLC Physical Therapist CurrentSince May 5, 2023 Accepting new patients
M4L Body Dynamics, LLC Physical Therapist Current Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Feb 28, 2003 Accepting new patients
CV Physical Therapy, Inc. Physical Therapist CurrentSince Jul 1, 2008 Accepting new patients
CV Physical Therapy, Inc. Past Accepting new patients
CV Physical Therapy Inc Physical Therapist Past Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients
CV Physical Therapy, Inc Physical Therapist Past Accepting new patients
Athlon Physical Therapy, LLC Physical Therapist Past Accepting new patients
CV Physical Therapy, Inc Physical Therapist Past Accepting new patients
CV Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

101 S La Canada Dr
Ste 35
Green Valley, AZ 85614
Phone (520) 365-0750

12460 N Rancho Vistoso Blvd
Ste 140
Oro Valley, AZ 85755
Phone (520) 615-6573

2560 E Fort Lowell Rd
Tucson, AZ 85716
Phone (520) 323-9086

7483 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 207-7220

6907 El Camino Real
Ste D
Atascadero, CA 93422
Phone (805) 466-6719

7325 El Camino Real
Atascadero, CA 93422
Phone (805) 466-6719

35325 Date Palm Dr
Ste 131
Cathedral City, CA 92234
Phone (760) 202-0368

1067 C St
Ste 110
Galt, CA 95632
Phone (209) 745-5802

81557 Doctor Carreon Blvd
Ste C4
Indio, CA 92201
Phone (760) 347-6195

2401 W Turner Rd
Ste 250
Lodi, CA 95242
Phone (209) 334-2224

533 Five Cities Dr
Ste C6
Pismo Beach, CA 93449
Phone (805) 489-7912

1428 Phillips Ln
Ste B3
San Luis Obispo, CA 93401
Phone (805) 269-6402

1106 Walnut St
#110
Sn Luis Obisp, CA 93401

1106 Walnut St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 788-0805

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

805 Aerovista Pl
Ste 104
Sn Luis Obisp, CA 93401
Phone (805) 543-7771

862 Meinecke Ave
Ste 101
Sn Luis Obisp, CA 93405
Phone (805) 541-4717

1716 W Hammer Ln
Stockton, CA 95209
Phone (204) 473-2383

858 Merrimon Ave
Asheville, NC 28804
Phone (828) 552-4217

1572 Sand Hill Rd
Ste 101
Candler, NC 28715
Phone (828) 522-5342

Organizations & group practices 33

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1316978182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL",
            "address_2": "SUITE 104",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017919",
            "telephone_number": "805-543-7771",
            "fax_number": "805-543-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.