Organization Active NPI

Sanger Physical Therapy, Inc.

  • Physical Therapist
  • Sanger, CA
National Provider Identifier
1891831889
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SANGER PHYSICAL THERAPY, INC.
Practice address
2315 Jensen Ave Ste 102
Sanger, CA 93657-2683
Phone
(559) 875-2220
Fax
(559) 875-2220
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Mr. Glen E Duncan, DPT. OCSNPI 1891828836
Title
President
Phone
(559) 875-2220

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 Primary

Addresses

Primary practice location

2315 Jensen Ave Ste 102
Sanger, CA 93657-2683

Mailing address

2315 Jensen Ave Ste 102
Sanger, CA 93657-2683
Phone (559) 875-2220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000240 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486733656 Receives reassigned benefits from 2 practitioners
Practice locations: Sanger, CA

National Provider Directory

National Provider Directory

Locations

2570 Jensen Ave
Ste 113
Sanger, CA 93657
Phone (559) 875-2220

2570 Jensen Ave
Ste 108
Sanger, CA 93657
Phone (209) 875-2220

2315 Jensen Ave
Ste 102
Sanger, CA 93657
Phone (559) 875-2220

Practitioners & affiliated clinicians

Practitioners 5

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1891831889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 JENSEN AVE STE 102",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572683",
            "telephone_number": "559-875-2220",
            "fax_number": "559-875-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 JENSEN AVE STE 102",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572683",
            "telephone_number": "559-875-2220",
            "fax_number": "559-875-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGER PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-875-2220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT. OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.