SANDRA WALKER – Physical Therapist, NPI 1114717428

SANDRA WALKER is a healthcare provider. based in Rancho cucamonga, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 308013 (CA). The NPI Number for SANDRA WALKER is 1114717428

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA WALKER
NPI
1114717428
Phone
Not provided
Address
10590 TOWN CENTER DR STE 100
Enumeration Date
9 May 2025
Last Update Date
9 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9099481124
Graduation Year
2024 (2 years ago)
PAC ID
1658881602
Group Practice PAC ID
6204910417
Professional Enrollment ID
I20250609002243
Address ID
CA917300361RA10590DRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for SANDRA WALKER

  • 10590 TOWN CENTER DR STE 100

    RANCHO CUCAMONGA, CA 917300361

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250609002243IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91730)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204910417View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA

Reviews

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Frequently asked questions

Does SANDRA WALKER share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SANDRA WALKER uses 1114717428.
Does the file indicate SANDRA WALKER is practicing under active NPI?
Directory data currently reports SANDRA WALKER as active.
What taxonomy line describes SANDRA WALKER?
For research purposes, treat SANDRA WALKER as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SANDRA WALKER on a map?
Expect Rancho Cucamonga, California as a primary anchor for SANDRA WALKER unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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