Active NPI
Kelly Marie Sanders, PT
- Physical Therapist
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24593
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT24593 | CA | MD | Physical Therapist |
| 24593 | CA | MD | Pulmonary Rehabilitation Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| Athlon Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Specialized Physical Therapy of the Carolinas LLC | Physical Therapist | Current | Accepting new patients |
| M4L Body Dynamics, LLC | Physical Therapist | Current | Accepting new patients |
| San Luis Physical Therapy & Orthopedic Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| CV Physical Therapy, Inc. | Physical Therapist | Current | 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.
-
dba Movement For Life Physical Therapy
- Physical Therapy Clinic/Center
- Stockton, CA
- NPI 1811150311
Physical Therapist
-
dba Movement For Life Physical Therapy
- Physical Therapy Clinic/Center
- San Luis Obispo, CA
- NPI 1003429416
Physical Therapist
-
dba Movement For Life Physical Therapy
- Physical Therapy Clinic/Center
- San Luis Obispo, CA
- NPI 1073552378
Physical Therapist
-
dba Movement for Life Physical Therapy
- Physical Therapy Clinic/Center
- Stockton, CA
- NPI 1578354239
Physical Therapist
-
dba Movement For Life Physical Therapy
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1245449909
Physical Therapist
-
- Physical Therapist
- Falls Church, VA
- NPI 1497522478
-
dba Movement For Life Physical Therapy
- Physical Therapy Clinic/Center
- Candler, NC
- NPI 1376059857
Physical Therapist
-
dba Movement For Life Physical Therapy
- Physical Therapy Clinic/Center
- Cathedral City, CA
- NPI 1235435033
Physical Therapist
-
dba Movement For Life Physical Therapy
- Physical Therapy Clinic/Center
- Stockton, CA
- NPI 1912443631
Physical Therapist
-
dba Movement For Life Physical Therapy
- Physical Therapy Clinic/Center
- Indio, CA
- NPI 1013167527
-
dba Movement For Life Physical Therapy
- Physical Therapy Clinic/Center
- San Bernardino, CA
- NPI 1952741936
Physical Therapist
-
- Physical Therapist
- San Luis Obispo, CA
- NPI 1942571260
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.