Alissa Michelle Sanchez, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

165 N Redwood Dr
Suite 120
San Rafael, CA 94903-1969

Phone

(415) 499-0278

Fax

(415) 499-0297

NPI assigned

Oct 28, 2009

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1467788257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N REDWOOD DR",
            "address_2": "SUITE 120",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031969",
            "telephone_number": "415-499-0278",
            "fax_number": "415-499-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N REDWOOD DR",
            "address_2": "SUITE 120",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031969",
            "telephone_number": "415-499-0278",
            "fax_number": "415-499-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ALISSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "401 Bicentennial Way",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954032149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• San Rafael Operating Company LP (Pine Ridge Care Center)
• San Rafael Rehab
• San Rafael Smiles Dentistry, Prof. Corp (San Rafael Smiles Dentistry)
• Jessica Sananes
• Yazmin Mariana Sanchez Rodriguez
• Wendy A Sanchez, R.N.
• Russell Leonard Sandberg, MD
• Katharina I Sandizell, MA, MFT
• Gaile Sands, L.M.F.T.
• Mary Ellen Sanicola

• Physical Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.