Individual provider Active NPI

Sandra Riendeau, PT

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1619207057
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15722 Issued in MD
Practice address
14409 Greenview Dr
Ste 102
Laurel, MD 20708-3293
Phone
(301) 498-8100
Fax
(301) 498-0009
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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 15722 MD Primary

Addresses

Primary practice location

14409 Greenview Dr
Ste 102
Laurel, MD 20708-3293

Mailing address

14409 Greenview Dr
Ste 102
Laurel, MD 20708-3293
Phone (301) 498-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180328000137 DC Practitioner - Physical Therapist in Private Practice 2961536115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7801 Old Branch Ave
Suite 203
Clinton, MD 20735-1642
Phone (240) 244-5614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harborside Physical Therapy and Wellness Center LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Rehabilitation Services, Inc. Physical Therapist PastSince Jul 1, 2003 Accepting new patients
Associated Professional Rehabilitation Services, Inc. Physical Therapist Past Accepting new patients

Locations

7801 Old Branch Ave
Ste 203
Clinton, MD 20735
Phone (240) 244-5614

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1619207057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14409 GREENVIEW DR",
            "address_2": "STE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083293",
            "telephone_number": "301-498-8100",
            "fax_number": "301-498-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14409 GREENVIEW DR",
            "address_2": "STE 102",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083293",
            "telephone_number": "301-498-8100",
            "fax_number": "301-498-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIENDEAU",
        "first_name": "SANDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.