NPIMap

Organization Active NPI

Sander Physical Therapy LTD.

  • Physical Therapist
  • Prescott, AZ
National Provider Identifier
1871546945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5331 Issued in AZ
Legal business name
SANDER PHYSICAL THERAPY LTD.
Practice address
3195 Stillwater Ave.
Ste. a
Prescott, AZ 86305
Phone
(928) 771-8156
Fax
(928) 771-9519
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Darcy D Myers, DPTNPI 1013093160
Title
President
Phone
(928) 771-8156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5331 AZ Primary

Addresses

Primary practice location

3195 Stillwater Ave.
Ste. a
Prescott, AZ 86305

Mailing address

PO Box 10548
Prescott, AZ 86304-0548
Phone (928) 771-8156

Other identifiers 3

IdentifierTypeStateIssuer
564973OtherAZAHCCCS INDIVIDUAL #
099382OtherAZAHCCCS GROUP BILLING #
AZ0409500OtherAZBLUE CROSS BLUE SHIELD #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871546945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10548",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040548",
            "telephone_number": "928-771-8156",
            "fax_number": "928-771-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 STILLWATER AVE.",
            "address_2": "STE. A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-771-8156",
            "fax_number": "928-771-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDER PHYSICAL THERAPY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-771-8156",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS INDIVIDUAL #",
            "identifier": "564973",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS GROUP BILLING #",
            "identifier": "099382",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "AZ0409500",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.