Active NPI
Anne Michelle Sanner, PT, DPT
- Physical Therapist
- Fort Sam Houston, TX
National Provider Identifier
1518494145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1368101
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-9900
- NPI assigned
- May 14, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2233 | ND | |
| Physical Therapist | 225100000X | 1368101 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (701) 780-6468
Other practice location 1
1375 S Columbia Rd - Altru Performance Center
Grand Forks, ND 58201-4015
Phone (701) 780-5000
Other practice location 2
1750 47th Ave S
Grand Forks, ND 58201-7595
Phone (701) 757-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293037 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
Other names 1
- Anne Michelle Engelhardt
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1368101 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1518494145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "701-780-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-9900"
}
],
"practiceLocations": [
{
"address_1": "1375 S Columbia Rd - Altru Performance Center",
"address_purpose": "LOCATION",
"city": "Grand Forks",
"state": "ND",
"postal_code": "582014015",
"country_code": "US",
"telephone_number": "701-780-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1750 47th Ave S",
"address_purpose": "LOCATION",
"city": "Grand Forks",
"state": "ND",
"postal_code": "582017595",
"country_code": "US",
"telephone_number": "701-757-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANNER",
"first_name": "ANNE",
"middle_name": "MICHELLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-14",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2233",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1368101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
"identifier": "293037",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "ENGELHARDT",
"middle_name": "MICHELLE",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.