Individual provider Active NPI

Andre Raymond Sarnow, RPT

  • Physical Therapist
  • Bayfield, CO
National Provider Identifier
1407835358
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6638 Issued in CO
Practice address
182 W North Street
Bayfield, CO 81122
Phone
(970) 884-2423
Fax
(970) 884-7473
NPI assigned
Jan 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 6638 CO Primary

Addresses

Primary practice location

182 W North Street
Bayfield, CO 81122

Mailing address

PO Box 465
Bayfield, CO 81122
Phone (970) 884-2423

Other identifiers 1

IdentifierTypeStateIssuer
SAS64288OtherCOBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000030 CO Practitioner - Physical Therapist in Private Practice 1951561174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New Mexico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4747 CR
Suite 311
Ignacio, CO 81137-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6638COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayfield Physical Therapy, Inc. Physical Therapist CurrentSince Jan 1, 2002 Accepting new patients

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407835358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "81122",
            "telephone_number": "970-884-2423",
            "fax_number": "970-884-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 W NORTH STREET",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "81122",
            "telephone_number": "970-884-2423",
            "fax_number": "970-884-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARNOW",
        "first_name": "ANDRE",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "SAS64288",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.