Tracey Sandnes, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A7191 Issued in NC

Practice address

801 Dixie TRL
Raleigh, NC 27607-4156

Phone

(919) 828-5557

Fax

(617) 454-3654

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1841866845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 DIXIE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074156",
            "telephone_number": "919-828-5557",
            "fax_number": "617-454-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 DIXIE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276074156",
            "telephone_number": "919-828-5557",
            "fax_number": "617-454-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDNES",
        "first_name": "TRACEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003306",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A7191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritu Raj Sandhu, M.D.
• Meredith Sandidge
• Sandler PT LLC
• Drew Thomas Sandlin
• Abby Snell Sandling, LCSW
• Hilda Adriana Sandoval Veliz, RN
• Destny Anastasia Sandoval
• Erick Joel Sandoval, NP
• Sandra M. Story, Psy.D., P.C.
• Sandra Martin, D.M.D.

• Physical Therapy Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.