Active NPI
Michelle Amanda Sanders
- Physical Therapist
- Reno, NV
National Provider Identifier
1508351354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3768
- Practice address
- 3700 Grant Dr
Reno, NV 89509-5474 - Phone
- (775) 829-4700
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 3768 | NV | Primary |
Addresses
Primary practice location
3700 Grant Dr
Reno, NV 89509-5474
Mailing address
3700 Grant Dr
Reno, NV 89509-5474
Phone (775) 829-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3768 | NV | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheelchair Clinic Inc | Physical Therapist | Current | Accepting new patients |
| The Continuum | Past | Accepting new patients | |
| Continuum Inc. | Past | Accepting new patients |
Locations
9805 Double R Blvd
Ste 300
Reno, NV 89521
Phone (775) 412-7385
2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592
Organizations & group practices 3
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.
-
- Adult Day Care Clinic/Center
- Reno, NV
- NPI 1003259417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1508351354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 GRANT DR",
"city": "RENO",
"state": "NV",
"postal_code": "895095474",
"telephone_number": "775-829-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 GRANT DR",
"city": "RENO",
"state": "NV",
"postal_code": "895095474",
"telephone_number": "775-829-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "MICHELLE",
"middle_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.