Individual provider Active NPI

Sandra Sagle Guilliano, PT

  • Physical Therapist
  • Ashburn, VA
National Provider Identifier
1487880969
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305006465 Issued in VA
Practice address
20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3393
Phone
(703) 723-5225
Fax
(703) 723-5595
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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 2305006465 VA Primary

Addresses

Primary practice location

20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3393

Mailing address

20524 Lansing Ter
Ashburn, VA 20147-5133
Phone (703) 310-6976

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000848 VA Practitioner - Physical Therapist in Private Practice 7810041696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Core Health LLCGroup PAC ID 4183958507, 2 clinicians

Practice addresses (Care Compare)

20098 Ashbrook PL
Suite 190
Ashburn, VA 20147-3394
Phone (571) 510-5968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305006465VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Art Bronsord & Associates Physical Therapy L.L.C. Physical Therapist CurrentSince Jul 1, 2009 Accepting new patients
Core Health LLC Physical Therapist CurrentSince Mar 25, 2018 Accepting new patients

Locations

20098 Ashbrook Pl
Ste 190
Ashburn, VA 20147
Phone (571) 223-0410

Organizations & group practices 2

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1487880969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20524 LANSING TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475133",
            "telephone_number": "703-310-6976",
            "fax_number": "703-724-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20098 ASHBROOK PL",
            "address_2": "SUITE 190",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201473393",
            "telephone_number": "703-723-5225",
            "fax_number": "703-723-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLIANO",
        "first_name": "SANDRA",
        "middle_name": "SAGLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.