Brett Edward Sanders, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014132L Issued in PA

Practice address

429 Manor Dr
Ebensburg, PA 15931-4917

Phone

(814) 471-2109

Fax

(814) 471-6902

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pro Care Health Systems Inc

  • Physical Therapy Clinic/Center
  • Altoona, PA
  • NPI 1205821238
  NPD (past)
• Procare PT LP

  • Physical Therapist
  • Altoona, PA
  • NPI 1811238744
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942370184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E GRANT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025319",
            "telephone_number": "814-941-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MANOR DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314917",
            "telephone_number": "814-471-2109",
            "fax_number": "814-471-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "BRETT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT014132L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "SA1301234",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Roman, PT, DPT
• Scott Rosen, PT
• Nicole L Rossman-Clapper, DO
• Lisa Rowley, RN BSN
• Robin Ryan
• Becky Sangregorio, LMT
• Mark Joseph Sauka, MS, ATC
• Rajiv Sawhney, PT, MS, OCS
• Philip Herbert Scaglione, DO
• Raymond Joseph Scanlan, D.C.

• Physical Therapist in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.