SANDRA ANDERSON (PT) – Physical Therapist, NPI 1902587488

SANDRA ANDERSON (PT) is a healthcare provider. based in Kissimmee, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT30759 (FL). The NPI Number for SANDRA ANDERSON (PT) is 1902587488

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA ANDERSON (PT)
NPI
1902587488
Phone
(859) 492-9099
Address
867 GRAND CANAL DR
Enumeration Date
27 July 2023
Last Update Date
31 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8455457778
Graduation Year
2002 (24 years ago)
PAC ID
8022470632
Group Practice PAC ID
1153727169
Professional Enrollment ID
I20230814004101
Address ID
FL34787XXXXWIXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for SANDRA ANDERSON (PT)

  • 867 GRAND CANAL DR

    KISSIMMEE, FL 347594358

    Phone: (859) 492-9099

    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: 2023-08-14

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
I20230814004101IPhysical Therapist In Private PracticeFLTBD

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 34759)

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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: 1153727169View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Where can patients find SANDRA ANDERSON (PT)'s NPI?
You can confirm SANDRA ANDERSON (PT) with NPI 1902587488; it appears in the national provider directory.
Is SANDRA ANDERSON (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SANDRA ANDERSON (PT)'s specialty in plain language?
Clinically, the directory lists SANDRA ANDERSON (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does SANDRA ANDERSON (PT) practice in Florida?
You will see Kissimmee, Florida on file for SANDRA ANDERSON (PT) alongside any extra practice locations.
How can I contact SANDRA ANDERSON (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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