Individual provider Active NPI

Sandra Lynn Chard, PT

  • Physical Therapist
  • Bothell, WA
National Provider Identifier
1801903752
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5363 Issued in WA
Practice address
18404 102ND Ave NE Ste a
Bothell, WA 98011-3380
Phone
(254) 486-6079
Fax
(425) 486-7077
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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 5363 WA Primary

Addresses

Primary practice location

18404 102ND Ave NE Ste a
Bothell, WA 98011-3380

Mailing address

4180 SW Orchard St
Seattle, WA 98136-1941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000467 WA Practitioner - Physical Therapist in Private Practice 5395891550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Care Physical Therapy IncGroup PAC ID 3274697685, 5 clinicians

Practice addresses (Care Compare)

18404 102ND Ave NE a
Bothell, WA 98011-3380
Phone (425) 486-6079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5363WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Physical Therapy, Inc. Physical Therapist CurrentSince Oct 18, 2018 Accepting new patients

Locations

18404 102nd Ave NE
Ste A
Bothell, WA 98011
Phone (425) 486-6079

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1801903752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 SW ORCHARD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 102ND AVE NE STE A",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113380",
            "telephone_number": "254-486-6079",
            "fax_number": "425-486-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARD",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "5363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.