Active NPI
Monique Sanders, LPTA
- Physical Therapy Assistant
- Fredericksburg, VA
National Provider Identifier
1417224932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306603089
- Practice address
- 6106 Health Center LN
Fredericksburg, VA 22407-6687 - Phone
- (540) 785-1103
- Fax
- (540) 785-6201
- NPI assigned
- Nov 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2306603089 | VA | Primary |
Addresses
Primary practice location
6106 Health Center LN
Fredericksburg, VA 22407-6687
Mailing address
10 Country Manor Dr
Fredericksburg, VA 22406-7278
Phone (540) 785-1103
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306603089 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1417224932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COUNTRY MANOR DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224067278",
"telephone_number": "540-785-1103",
"fax_number": "540-785-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6106 HEALTH CENTER LN",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224076687",
"telephone_number": "540-785-1103",
"fax_number": "540-785-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "MONIQUE",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306603089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.