Active NPI
Sandra Lynn Chard, PT
- Physical Therapist
- Bothell, WA
National Provider Identifier
1801903752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5363
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5363 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Care Physical Therapy, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Bothell, WA
- NPI 1801937503
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.