TYGE L SANBORN (PT) – Physical Therapist, NPI 1811567548

TYGE L SANBORN (PT) is a healthcare provider. based in Joplin, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 11-02404 (KS). The NPI Number for TYGE L SANBORN (PT) is 1811567548

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
TYGE L SANBORN (PT)
NPI
1811567548
Phone
(417) 347-4662
Address
PO BOX 3810
Enumeration Date
25 June 2021
Last Update Date
25 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6203087247
Graduation Year
1996 (30 years ago)
PAC ID
4688070733
Group Practice PAC ID
8325942253
Professional Enrollment ID
I20210915001064
Address ID
KS667625943PI1701XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for TYGE L SANBORN (PT)

  • PO BOX 3810

    JOPLIN, MO 648033810

    Phone: (417) 347-4662

    Type: Mailing

  • 1500 S CASE ST

    CARTHAGE, MO 648362813

    Phone: (417) 359-0625

    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: 2021-09-15

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
I20210915001064IPhysical Therapist In Private PracticeKSTBD

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 minutes1,46326$0
View full utilization report →

Insurance plans in this area (ZIP 64803)

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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: 8325942253View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
Nurse PractitionerKS
U R O L O G YMO
R H E U M A T O L O G YMO
Nurse PractitionerMO
H E M A T O L O G Y/ O N C O L O G YMO
-MO
Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists)MO

Reviews

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Frequently asked questions

What identifier follows TYGE L SANBORN (PT) across health systems?
The NPI 1811567548 uniquely identifies TYGE L SANBORN (PT) in U.S. healthcare data.
Does the public listing show TYGE L SANBORN (PT) as active?
TYGE L SANBORN (PT)'s NPI record reflects an active status in NPPES.
How should patients interpret TYGE L SANBORN (PT)'s specialty?
The extract shows Physical Therapist for TYGE L SANBORN (PT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to TYGE L SANBORN (PT)?
TYGE L SANBORN (PT) is associated with Joplin, Missouri in the same public data insurers reference.
Why is information missing for TYGE L SANBORN (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.