Individual provider Active NPI

Sandra Scanlan, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Arlington Heights, IL
National Provider Identifier
1871905240
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
070020631 Issued in IL
Practice address
1956 W Spring Ridge Dr
Arlington Heights, IL 60004-1220
Phone
(224) 406-0713
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 10766 AZ
Physical Medicine & Rehabilitation Physician 208100000X 070020631 IL Primary

Addresses

Primary practice location

1956 W Spring Ridge Dr
Arlington Heights, IL 60004-1220

Mailing address

11 E Sandstone CT
South Elgin, IL 60177-3260
Phone (224) 406-0713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180104000420 IL Practitioner - Physical Therapist in Private Practice 5991064586 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

Practice addresses (Care Compare)

1055 Silver Lake Rd
Cary, IL 60013-3432
Phone (847) 462-5988

110 W Schaumburg Rd
Streamwood, IL 60107-1459
Phone (630) 444-7087

1901 Silver Glen Rd
South Elgin, IL 60177-3351
Phone (847) 214-6271

2450 W Fabyan Pkwy
Batavia, IL 60510-1576
Phone (847) 532-3492

2595 Harnish Dr
Algonquin, IL 60102-6874
Phone (847) 717-7644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10766AZMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC CurrentSince Aug 8, 2022 Accepting new patients
Comprehensive Therapeutics LTD CurrentSince Jul 31, 2017 Accepting new patients
Legacy Healthcare Services Inc CurrentSince Jul 2, 2024 Accepting new patients
Paxxon Healthcare Services LLC CurrentSince Aug 8, 2022 Accepting new patients
Comprehensive Therapeutics LTD CurrentSince Jul 31, 2017 Accepting new patients
Legacy Healthcare Services Inc CurrentSince Jul 2, 2024 Accepting new patients

Locations

1035 S Sutton Rd
Bartlett, IL 60103
Phone (331) 320-0004

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 6

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1871905240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E SANDSTONE CT",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773260",
            "telephone_number": "224-406-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1956 W SPRING RIDGE DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041220",
            "telephone_number": "224-406-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "10766",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070020631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.