Individual provider Active NPI

Steven Sanders, PT, DPT

  • Physical Therapist
  • Pine Brook, NJ
National Provider Identifier
1417813783
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24540 Issued in NC
Practice address
321 Changebridge Rd
Pine Brook, NJ 07058-9583
Phone
(973) 396-8585
NPI assigned
Dec 31, 2025
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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 P24540 NC Primary

Addresses

Primary practice location

321 Changebridge Rd
Pine Brook, NJ 07058-9583

Mailing address

321 Changebridge Rd
Pine Brook, NJ 07058-9583
Phone (973) 396-8585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220000271 NJ Practitioner - Physical Therapist in Private Practice 6204317068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile High Physical Therapy Professional CorporationGroup PAC ID 7911257597, 6 clinicians

Practice addresses (Care Compare)

321 Changebridge Rd
Suite 103
Pine Brook, NJ 07058-9584
Phone (973) 396-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24540NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Physical Therapy Professional Corporation Physical Therapist CurrentSince Jan 19, 2026 Accepting new patients

Locations

321 Changebridge Rd
Pine Brook, NJ 07058
Phone (201) 499-7670

321 Changebridge Rd
Ste 103
Pine Brook, NJ 07058
Phone (973) 396-8585

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": "1767139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1417813783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 CHANGEBRIDGE RD",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589583",
            "telephone_number": "973-396-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 CHANGEBRIDGE RD",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589583",
            "telephone_number": "973-396-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-31",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.