Albert Chandler, PT, CPED

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

104649-2401 Issued in UT

Practice address

6319 Highland Dr
Holladay, UT 84121-2107

Phone

(801) 265-9339

Fax

(801) 277-7993

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chandlers Specialty Shoes Inc

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1588868566
  NPD (past) Authorized official
• Don H. Hansen Physical Therapy, PC

  • Physical Therapist
  • Draper, UT
  • NPI 1851521090
  NPD (past)
• Registered Physical Therapists LLC

  • Physical Therapy Clinic/Center
  • Sandy, UT
  • NPI 1477582633
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477599710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 S 1300 E",
            "address_2": "#W200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943712",
            "telephone_number": "801-572-0690",
            "fax_number": "801-572-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 HIGHLAND DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841212107",
            "telephone_number": "801-265-9339",
            "fax_number": "801-277-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "ALBERT",
        "credential": "PT, CPED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "104649-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "104649-2401",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care Anesthesia
• Matthew Carmody, DDS
• Andrea Kristina Carrizo, LCSW
• Autum Cates
• Center for Counseling Excellence
• Lisa Rae Chatelain, LSAC
• Matthew Chaus
• Karl Chen, MD
• David L Christensen, D.D.S.
• Katie Lynn Christensen

• All providers in Holladay, UT
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.