Individual provider Active NPI

Ryan A Sandstrom, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1417645664
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4375 E Indian School Rd Ste 190
Phoenix, AZ 85018-5336
Phone
(602) 789-3880
Fax
(602) 362-5393
NPI assigned
Apr 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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 AZ Primary

Addresses

Primary practice location

4375 E Indian School Rd Ste 190
Phoenix, AZ 85018-5336

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004002997 AZ Practitioner - Physical Therapist in Private Practice 6103271515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinect Physical Therapy PLLCGroup PAC ID 3476713009, 46 clinicians

Practice addresses (Care Compare)

7205 S 51St Ave
Suite 200
Laveen, AZ 85339-7239
Phone (480) 653-8200

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinect Physical Therapy, PLLC Physical Therapist CurrentSince Nov 8, 2023 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 11, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 11, 2023 Accepting new patients

Locations

4236 N Verrado Way
Ste 203
Buckeye, AZ 85396
Phone (623) 401-0550

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965

11851 N 51st Ave
Unit 110
Glendale, AZ 85304

11851 N 51st Ave
Ste D110
Glendale, AZ 85304
Phone (623) 934-1154

3050 N Litchfield Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 935-0626

7205 S 51st Ave
Ste 200
Laveen, AZ 85339
Phone (480) 653-8200

21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829

4375 E Indian School Rd
Ste 190
Phoenix, AZ 85018
Phone (602) 789-3880

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

Interoperability endpoints

  • Direct secure messaging: ryan.sandstrom.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1417645664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 E INDIAN SCHOOL RD STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185336",
            "telephone_number": "602-789-3880",
            "fax_number": "602-362-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDSTROM",
        "first_name": "RYAN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.