Active NPI
Justin W. Sandal, PT
- Physical Therapist
- Auburn, AL
National Provider Identifier
1386683365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3348
- Practice address
- 161 E University Dr
Auburn, AL 36832-6725 - Phone
- (334) 826-2090
- Fax
- (334) 821-3191
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- 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 | PTH3348 | AL | Primary |
Addresses
Primary practice location
161 E University Dr
Auburn, AL 36832-6725
Mailing address
161 E University Dr
Auburn, AL 36832-6725
Phone (334) 826-2090
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 |
|---|---|---|---|
| PTH3348 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1386683365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 E UNIVERSITY DR",
"city": "AUBURN",
"state": "AL",
"postal_code": "368326725",
"telephone_number": "334-826-2090",
"fax_number": "334-821-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 E UNIVERSITY DR",
"city": "AUBURN",
"state": "AL",
"postal_code": "368326725",
"telephone_number": "334-826-2090",
"fax_number": "334-821-3191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDAL",
"first_name": "JUSTIN",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.