NICOLE CHRISTINE SANDRUCK – Physical Therapist, NPI 1083309504

NICOLE CHRISTINE SANDRUCK is a healthcare provider. based in Baltimore, Maryland. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 29443 (MD). The NPI Number for NICOLE CHRISTINE SANDRUCK is 1083309504

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE CHRISTINE SANDRUCK
NPI
1083309504
Phone
(443) 529-6434
Address
8200 EVERGREEN DR
Enumeration Date
10 April 2023
Last Update Date
6 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4105271794
Graduation Year
2023 (3 years ago)
PAC ID
6507226685
Group Practice PAC ID
8628216041
Professional Enrollment ID
I20230720003566
Address ID
MD210311002HU11350RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,984 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD

Provider Addresses for NICOLE CHRISTINE SANDRUCK

  • 8200 EVERGREEN DR

    BALTIMORE, MD 212345509

    Phone: (443) 529-6434

    Type: Mailing

  • 7629 BELAIR RD

    NOTTINGHAM, MD 212364003

    Phone: (410) 870-2104

    Type: Location

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: 2023-07-20

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
I20230720003566IPhysical Therapist In Private PracticeMDTBD
I20230720003659IPhysical Therapist In Private PracticeDCTBD

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
97530Therapy procedure using functional activities20039$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15335$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14731$0
97140Therapy procedure using manual technique, each 15 minutes13029$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care2011$0
View full utilization report →

Insurance plans in this area (ZIP 21234)

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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: 8628216041View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
-MD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD

Reviews

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Frequently asked questions

What is NICOLE CHRISTINE SANDRUCK's NPI number?
NICOLE CHRISTINE SANDRUCK's NPI is 1083309504 — the number used across U.S. healthcare to identify this provider.
Is NICOLE CHRISTINE SANDRUCK still an active registrant?
NICOLE CHRISTINE SANDRUCK carries an active NPI according to the public dataset.
What area of care is associated with NICOLE CHRISTINE SANDRUCK?
NICOLE CHRISTINE SANDRUCK's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Maryland is NICOLE CHRISTINE SANDRUCK registered?
Use Baltimore, Maryland as the headline location for NICOLE CHRISTINE SANDRUCK here.
Does NICOLE CHRISTINE SANDRUCK accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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