Individual provider Active NPI

Kalen Sanderfer

  • Sports Physical Therapist
  • Dallas, TX
National Provider Identifier
1902680333
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
1382963 Issued in TX
Practice address
8081 Walnut Hill LN Ste 1000
Dallas, TX 75231-4313
Phone
(214) 750-1207
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1382963 TX
Sports Physical Therapist 2251S0007X 1382963 TX Primary

Addresses

Primary practice location

8081 Walnut Hill LN Ste 1000
Dallas, TX 75231-4313

Mailing address

8081 Walnut Hill LN Ste 1000
Dallas, TX 75231-4313
Phone (214) 750-1207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1902680333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 WALNUT HILL LN STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314313",
            "telephone_number": "214-750-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 WALNUT HILL LN STE 1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314313",
            "telephone_number": "214-750-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERFER",
        "first_name": "KALEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-10-23",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1382963",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1382963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.