Individual provider Active NPI

Sandi Jean Auberger, P.T.

  • Physical Therapist
  • Harrison, OH
National Provider Identifier
1336559376
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4675 Issued in OH
Practice address
1149 Stone Dr
Ste.500
Harrison, OH 45030-2763
Phone
(513) 367-9299
Fax
(513) 367-1704
NPI assigned
Apr 29, 2014
Last updated
Apr 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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 PT4675 OH Primary

Addresses

Primary practice location

1149 Stone Dr
Ste.500
Harrison, OH 45030-2763

Mailing address

1149 Stone Dr
Ste.500
Harrison, OH 45030-2763
Phone (513) 367-9299

Other names 1

  • Ms. Sandi Jean Selner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140616001188 OH Practitioner - Physical Therapist in Private Practice 4587888458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lees Rehabilitation Services IncGroup PAC ID 0345256491, 7 clinicians

Practice addresses (Care Compare)

1149 Stone Dr
Suite 400
Harrison, OH 45030-2763
Phone (513) 367-9299

1149 Stone Dr
Suite 500
Harrison, OH 45030-2728
Phone (513) 367-9299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4675OHMDPhysical Therapist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1336559376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 STONE DR",
            "address_2": "STE.500",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302763",
            "telephone_number": "513-367-9299",
            "fax_number": "513-367-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 STONE DR",
            "address_2": "STE.500",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302763",
            "telephone_number": "513-367-9299",
            "fax_number": "513-367-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBERGER",
        "first_name": "SANDI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT4675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDI",
            "last_name": "SELNER",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.