Charles Odell Sands, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7263 Issued in TN

Practice address

914 Industrial Park Rd
Dandridge, TN 37725-4700

Phone

(865) 397-3163

NPI assigned

Nov 26, 2019

Last updated

Nov 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1932745833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 FATE RANKIN RD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377603942",
            "telephone_number": "865-282-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 INDUSTRIAL PARK RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254700",
            "telephone_number": "865-397-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDS",
        "first_name": "CHARLES",
        "middle_name": "ODELL",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "7263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don H Rose, DPH
• Crystal Williams Rosecrance
• Kailee Rossman
• Dayna Marie Ruff, COTA
• Rural Medical Services, Inc.
• Nolan Sexton, SLP-CCC
• Maureen Carroll Smith, PSYD
• Summer Smith
• Kelly Eugene Snyder, PHARMD
• Charlie Anthony Southerland, PHARM.D.

• Physical Therapy Assistant in Dandridge, TN
• Providers in Dandridge, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.