Individual provider Active NPI

Brian Sand, DPT

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1710796214
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033994 Issued in AZ
Practice address
7115 E Baseline Rd Ste 105
Mesa, AZ 85209-4039
Phone
(602) 853-4404
Fax
(602) 853-4776
NPI assigned
Dec 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 033994 AZ Primary

Addresses

Primary practice location

7115 E Baseline Rd Ste 105
Mesa, AZ 85209-4039

Mailing address

1993 S Comanche Dr
Chandler, AZ 85286-6466
Phone (480) 349-6998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128000711 AZ Practitioner - Physical Therapist in Private Practice 9133658701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donato Fitness and Wellness LLCGroup PAC ID 6800256728, 2 clinicians

Practice addresses (Care Compare)

7115 E Baseline Rd
Suite 105
Mesa, AZ 85209-4039
Phone (602) 853-4404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033994AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Donato Fitness and Wellness LLC Physical Therapist CurrentSince Jan 7, 2025 Accepting new patients

Locations

7115 E Baseline Rd
Ste 105
Mesa, AZ 85209
Phone (602) 853-4404

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.

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1710796214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 S COMANCHE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866466",
            "telephone_number": "480-349-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 E BASELINE RD STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094039",
            "telephone_number": "602-853-4404",
            "fax_number": "602-853-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAND",
        "first_name": "BRIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-31",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "033994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.