Individual provider Active NPI

Erik M Sandvig, P.T.

  • Physical Therapist
  • Glen Allen, VA
National Provider Identifier
1497875843
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305006683 Issued in VA
Practice address
12211 Kain Rd
Glen Allen, VA 23059-5720
Phone
(804) 322-3264
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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 2305006683 VA Primary

Addresses

Primary practice location

12211 Kain Rd
Glen Allen, VA 23059-5720

Mailing address

12211 Kain Rd
Glen Allen, VA 23059-5720
Phone (804) 322-3264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000482 VA Practitioner - Physical Therapist in Private Practice 5890838189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodyworks Physical Therapy and RehabilitationGroup PAC ID 3870636178, 4 clinicians

Practice addresses (Care Compare)

12211 Kain Rd
Glen Allen, VA 23059-5720
Phone (804) 519-8751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305006683VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodyworks Physical Therapy and Rehabilitation Physical Therapist CurrentSince Jun 9, 2000 Accepting new patients
Virginia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 29, 2021 Accepting new patients

Locations

4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1497875843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 KAIN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595720",
            "telephone_number": "804-322-3264",
            "fax_number": "804-364-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 KAIN RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595720",
            "telephone_number": "804-322-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDVIG",
        "first_name": "ERIK",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.