Individual provider Active NPI

Manwinder Singh Sandhu, PT, DPT

  • Physical Therapist
  • Towson, MD
National Provider Identifier
1679134308
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27521 Issued in MD
Practice address
7801 York Rd Ste 236
Towson, MD 21204-7448
Phone
(410) 583-0333
Fax
(410) 583-2134
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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 27521 MD Primary

Addresses

Primary practice location

7801 York Rd Ste 236
Towson, MD 21204-7448

Mailing address

PO Box 745944
Atlanta, GA 30374-5944
Phone (410) 970-8177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722002818 MD Practitioner - Physical Therapist in Private Practice 1456687987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Physical Therapy and Wellness LLCGroup PAC ID 4789860131, 24 clinicians

Practice addresses (Care Compare)

7801 York Rd
Suite 236
Towson, MD 21204-7448
Phone (410) 583-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27521MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy of Towson, P.a. Physical Therapist CurrentSince Jan 18, 2022 Accepting new patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Jan 18, 2022 Accepting new patients

Locations

7801 York Rd
Ste 236
Towson, MD 21204
Phone (410) 583-0333

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1679134308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745944",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745944",
            "telephone_number": "410-970-8177",
            "fax_number": "410-313-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 236",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047448",
            "telephone_number": "410-583-0333",
            "fax_number": "410-583-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "MANWINDER",
        "middle_name": "SINGH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.