Chloe Adeline Sandberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2089 Issued in ND

Practice address

207 W Front Ave
Bismarck, ND 58504-5514

Phone

(701) 751-0994

NPI assigned

May 17, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCS Physical Therapy, LLCGroup PAC ID 2668653890, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chloe.sandberg.1@26683.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/26683/brand/1/csg/1/fhir/r4

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.

• CCS Physical Therapy, LLC

  • Physical Therapist
  • Bismarck, ND
  • NPI 1932400983
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1851881593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045514",
            "telephone_number": "701-751-0994",
            "fax_number": "701-751-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045514",
            "telephone_number": "701-751-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "CHLOE",
        "middle_name": "ADELINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Samuelson, RN, BC
• Mylapanahalli Sanathanamurthy, MD
• Saysia Kasiya Sanchez-Hohenstein
• Jill Sanchez
• Lorri Sandal, LSW
• Dorothy Jean Sander, R.PH.
• Michelle Dion Sanders, LAC
• David Bernard Sandler, LAPC
• Heather Nicole Sandness Nelson, MD
• Julie Ann Sandvig, MS, OTR/L

• Physical Therapist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.