Active NPI
Robert C Sanders
- Physical Therapy Assistant
- Pittsburg, KS
National Provider Identifier
1487955258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-02187
- Practice address
- 1 Mt Carmel Way
Pittsburg, KS 66762-7587 - Phone
- (620) 232-0229
- NPI assigned
- Nov 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-02187 | KS | Primary |
Addresses
Primary practice location
1 Mt Carmel Way
Pittsburg, KS 66762-7587
Mailing address
691 SW 137TH LN
Asbury, MO 64832-8156
Phone (417) 842-3663
Other names 1
- Robert C Sanders
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-02187 | KS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1487955258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "691 SW 137TH LN",
"city": "ASBURY",
"state": "MO",
"postal_code": "648328156",
"telephone_number": "417-842-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MT CARMEL WAY",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667627587",
"telephone_number": "620-232-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-02187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "SANDERS",
"middle_name": "C",
"credential": "PTA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.