SANDRA LEE VANGILDER (PT) – Physical Therapist, NPI 1164528014

SANDRA LEE VANGILDER (PT) is a healthcare provider. based in Encinitas, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 27795 (CA). The NPI Number for SANDRA LEE VANGILDER (PT) is 1164528014

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA LEE VANGILDER (PT)
NPI
1164528014
Phone
(760) 822-3030
Address
1115 OCEANIC DR
Enumeration Date
16 September 2006
Last Update Date
11 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7604522640
Graduation Year
2002 (24 years ago)
PAC ID
0941276653
Group Practice PAC ID
6204139744
Professional Enrollment ID
I20040903000572
Address ID
CA920245821EN227XXREAL502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for SANDRA LEE VANGILDER (PT)

  • 1115, Oceanic Drive, Encinitas, San Diego County, California, 92024, United States

    ENCINITAS, CA 920244008

    Phone: (760) 822-3030

    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: 2004-09-03

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
I20040903000572IPhysical 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 92024)

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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: 6204139744View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do payers reference SANDRA LEE VANGILDER (PT)?
For SANDRA LEE VANGILDER (PT), use NPI 1164528014 as the unique 10-digit identifier.
Would SANDRA LEE VANGILDER (PT) appear as active to a payer?
You can treat SANDRA LEE VANGILDER (PT) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is SANDRA LEE VANGILDER (PT)?
SANDRA LEE VANGILDER (PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with SANDRA LEE VANGILDER (PT)?
Directory geography for SANDRA LEE VANGILDER (PT) centers on Encinitas, California.
When was this NPI issued?
Enumeration for SANDRA LEE VANGILDER (PT) is noted as September 16, 2006 where the registry provides it.

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