JASON SCOTT SANDERS (PT) – Physical Therapist, NPI 1174554075

JASON SCOTT SANDERS (PT) is a healthcare provider. based in San luis obispo, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. P21135 (NC). The NPI Number for JASON SCOTT SANDERS (PT) is 1174554075

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
JASON SCOTT SANDERS (PT)
NPI
1174554075
Phone
(805) 788-0805
Address
1106 WALNUT ST # 110
Enumeration Date
6 July 2006
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
8054342050
Graduation Year
1998 (28 years ago)
PAC ID
4789664970
Group Practice PAC ID
7618872946
Professional Enrollment ID
I20040720000882
Address ID
CA934654061TE350XXLNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Loading map...

Provider Addresses for JASON SCOTT SANDERS (PT)

  • Suite 110, Walnut Street, San Luis Obispo, San Luis Obispo County, California, 93410, United States

    SAN LUIS OBISPO, CA 934012416

    Phone: (805) 788-0805

    Fax: (805) 788-0845

    Type: Mailing

  • Medworks, 350, Posada Lane, Templeton, San Luis Obispo County, California, 93465, United States

    SUITE103

    TEMPLETON, CA 934654059

    Phone: (805) 434-2050

    Fax: (805) 434-0065

    Type: Location

  • 20 GALA DR STE G-104

    ASHEVILLE, NC 288038209

    Phone: (828) 484-4200

    Fax: (828) 585-6659

    Type: Location

  • 350 Posada Ln

    Suite103

    Templeton, CA 934654059

    Phone: (805) 434-2050

    Fax: (805) 434-0065

    Type: Location

  • 408 HIGUERA ST STE 200

    SAN LUIS OBISPO, CA 934016135

    Phone: (805) 788-0805

    Fax: (805) 788-0845

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040720000882IPhysical Therapist In Private PracticeCATBD
I20230504003178IPhysical Therapist In Private PracticeNCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,618222$0
97530Therapy procedure using functional activities2,243251$0
97140Therapy procedure using manual technique, each 15 minutes723119$0
97016Application of blood vessel compression device678115$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care61591$0
View full utilization report →

Insurance plans in this area (ZIP 93401)

Loading plans...

Provider's Procedures

JASON SCOTT SANDERS (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97001Physical therapy evaluation112102
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1882114

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: 7618872946View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for JASON SCOTT SANDERS (PT) in U.S. healthcare records?
The official identifier for JASON SCOTT SANDERS (PT) is NPI 1174554075.
Active or inactive — what applies to JASON SCOTT SANDERS (PT)?
You should see JASON SCOTT SANDERS (PT) as active in CMS-hosted NPPES data.
What clinical focus is listed for JASON SCOTT SANDERS (PT)?
At a glance, JASON SCOTT SANDERS (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JASON SCOTT SANDERS (PT) located near San Luis Obispo?
JASON SCOTT SANDERS (PT) currently maps to San Luis Obispo, California in this extract.
Does JASON SCOTT SANDERS (PT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.