Individual provider Active NPI

Daniel Alan Sandy, DPT

  • Physical Therapist
  • Sylvania, OH
National Provider Identifier
1518230523
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012864 Issued in OH
Practice address
6444 Monroe St
Suite B
Sylvania, OH 43560-1454
Phone
(419) 824-3434
Fax
(419) 824-3435
NPI assigned
Feb 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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 012864 OH Primary

Addresses

Primary practice location

6444 Monroe St
Suite B
Sylvania, OH 43560-1454

Mailing address

6444 Monroe St
Suite B
Sylvania, OH 43560-1454
Phone (419) 824-3434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602002173 OH Practitioner - Physical Therapist in Private Practice 9739329822 Reassigns benefits to 1 organization
Practice locations: Sylvania, OH

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

5577 Monroe St
Suite A1
Sylvania, OH 43560-2565
Phone (419) 318-8104

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012864OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
R & F Inc. Physical Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daniel.sandy.p4@direct.athleticoltd.nextgenshare.com

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1518230523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 MONROE ST",
            "address_2": "SUITE B",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601454",
            "telephone_number": "419-824-3434",
            "fax_number": "419-824-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 MONROE ST",
            "address_2": "SUITE B",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601454",
            "telephone_number": "419-824-3434",
            "fax_number": "419-824-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDY",
        "first_name": "DANIEL",
        "middle_name": "ALAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.