Active NPI
Robert Glennon Sander, P.T.
- Physical Therapist
- Union, MO
National Provider Identifier
1669684387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2033
- Practice address
- 1935 Prairie Dell Rd
Suite 300
Union, MO 63084-4328 - Phone
- (636) 584-0556
- Fax
- (636) 584-7049
- NPI assigned
- May 4, 2007
- Sex
- Male
- 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 | 2033 | MO | Primary |
Addresses
Primary practice location
1935 Prairie Dell Rd
Suite 300
Union, MO 63084-4328
Mailing address
548 E 6TH St
Washington, MO 63090-2906
Phone (636) 239-3486
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2033 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669684387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 E 6TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630902906",
"telephone_number": "636-239-3486",
"fax_number": "636-239-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 PRAIRIE DELL RD",
"address_2": "SUITE 300",
"city": "UNION",
"state": "MO",
"postal_code": "630844328",
"telephone_number": "636-584-0556",
"fax_number": "636-584-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDER",
"first_name": "ROBERT",
"middle_name": "GLENNON",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, MO
Sources for this page
- 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.