Thomas Sanders

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039672-1 Issued in NY

Practice address

97 Main St
Stony Brook, NY 11790-1937

Phone

(631) 751-6680

NPI assigned

Mar 10, 2016

Last updated

Mar 11, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fam Physical Therapy of Miller Place PCGroup PAC ID 6406113950, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fam Physical Therapy of Miller Place PC

  dba Advanced S.P.O.R.T.S. Physical Therapy Of Miller Place

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Miller Place, NY
  • NPI 1851819023
  Medicare reassignment Care Compare group
• Advanced Sports Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • East Setauket, NY
  • NPI 1952513384
  Medicare reassignment NPD
• Goodman Physical Therapy PC

  • Physical Therapist
  • West Islip, NY
  • NPI 1295163533
  Medicare reassignment NPD
• Kah Premium Physical Therapy P.C.

  • Physical Therapist
  • Stony Brook, NY
  • NPI 1922396373
  Medicare reassignment NPD
• Three Village Physical Therapy PLLC

  dba Three Village Physical Therapy & Fitness

  • Physical Therapist
  • Stony Brook, NY
  • NPI 1831260504
  NPD (past)

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1942661475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ARBOR RIDGE LN",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MAIN ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901937",
            "telephone_number": "631-751-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039672-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherene Samu, PHARM.D.
• Betty Samuel, DDS
• Joan C Samuels, PA
• Gabriel San Roman II, MD, MHA, MS
• Nicole A Sandberg, MSN-PMHNP
• Hanna Sandhu, MD
• Yuliya Sandman, A-GNP-C
• Steven Sandoval, M.D.
• Mark J. Sands, MD
• Debra Sansoucie, N.P.

• Physical Therapist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.