Individual provider Active NPI

Paula Sanders, RPT

  • Physical Therapist
  • Cypress, CA
National Provider Identifier
1952392268
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32572 Issued in CA
Practice address
4021 Orange Ave
Cypress, CA 90630-2715
Phone
(800) 707-5768
Fax
(877) 723-3351
NPI assigned
Nov 4, 2005
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32572 CA Primary

Addresses

Primary practice location

4021 Orange Ave
Cypress, CA 90630-2715

Mailing address

4021 Orange Ave
Cypress, CA 90630-2715
Phone (800) 707-5768

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180402001091 CA Practitioner - Physical Therapist in Private Practice 5193707768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Sports Rehabilitation, Inc. CurrentSince Feb 14, 2018 Accepting new patients
Sanders Contract Services Past Accepting new patients
Les T. Sandknop, D.O. PA Past Accepting new patients

Locations

1809 E Dyer Rd
Ste 311
Santa Ana, CA 92705
Phone (949) 863-0022

1809 E Dyer Rd
Ste 313
Santa Ana, CA 92705
Phone (949) 975-1900

11627 Telegraph Rd
Ste 105
Santa Fe Springs, CA 90670
Phone (562) 948-4004

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1952392268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 ORANGE AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302715",
            "telephone_number": "800-707-5768",
            "fax_number": "888-723-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 ORANGE AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302715",
            "telephone_number": "800-707-5768",
            "fax_number": "877-723-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "PAULA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.