Cynthia K Sanderson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001491-1 Issued in NY

Practice address

800 S Wilbur Ave
Syracuse, NY 13204-2732

Phone

(315) 473-5092

Fax

(315) 473-5093

NPI assigned

Mar 8, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497886774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 VALLEY DR",
            "city": "ELBRIDGE",
            "state": "NY",
            "postal_code": "130609794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S WILBUR AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042732",
            "telephone_number": "315-473-5092",
            "fax_number": "315-473-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "CYNTHIA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "001491-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanctuary Mental Health Counseling Services, PLLC
• Shaifali Sandal, MD
• Emma Sandberg
• Sierra Ann Sander, PA
• Christopher Robin Sanders, ATC
• Erin Sanderson, PA-C
• Laurie Sanderson
• Courtney T Sandford
• Thomas D Sandford, PA
• Gurjot Sandhu, PHARMD

• Physical Therapy Assistant in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Physical Therapy Assistant in New York

• 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.