Shantel Marie Sands, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02290 Issued in IA

Practice address

517 Grand Ave Ste 103
Ames, IA 50010-6032

Phone

(515) 975-3595

NPI assigned

Aug 15, 2005

Last updated

Apr 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 21St Century Rehab PC

  dba Indianola Physical Therapy

  • Rehabilitation Clinic/Center
  • Indianola, IA
  • NPI 1174783583
  NPD (past)
• 21St Century Rehab PC

  • Rehabilitation Clinic/Center
  • Madrid, IA
  • NPI 1407016819
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1740282284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 GRAND AVE STE 103",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106032",
            "telephone_number": "515-520-8105",
            "fax_number": "949-543-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 GRAND AVE STE 103",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106032",
            "telephone_number": "515-975-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDS",
        "first_name": "SHANTEL",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firas Salti, M.D.
• Brian Eben Salton, DPT
• Greg Salvo, DPT
• Laura Sampson, ARNP
• Blair Sanders, OTR/L
• Adriane Sankey Tiedens
• Anthony D Santiago
• Rakshak Sarda, MD
• Cosette Scallon, MD
• Louis J Scallon, MD

• Physical Therapist in Ames, IA
• Providers in Ames, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.