Susan Sanford, PT LIC ACC
Physical Therapist in Edgartown, Massachusetts
1104905934- Practice location
- 238 Edgartown Vineyard Haven Road, Edgartown, MA 02539
- Phone
- 508-693-3800
- Fax
- —
- Last updated
- February 14, 2023
Susan Sanford is a Physical Therapist based in Edgartown, MA. Susan Sanford practices in Edgartown, MA and has the professional credentials of PT LIC ACC. The NPI Number for Susan Sanford is 1104905934 and holds a License No. 215639 (MA). The current practice location address for Susan Sanford is 238 Edgartown Vineyard Haven Road, Edgartown, MA 02539 and can be reached out via phone at 508-693-3800.
Provider Profile Details
- NPI Number
- 1104905934
- Provider Name
- Susan Sanford
- Credential
- PT LIC ACC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 238 Edgartown Vineyard Haven Road, Edgartown, MA 02539
- Phone Number
- 508-693-3800
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 3, 2006
- Last Update Date
- February 14, 2023
- Certification Date
- February 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 238 Edgartown Vineyard Haven Road
Edgartown, MA 02539 - City
- Edgartown
- State
- Massachusetts
- Zip
- 02539
- Phone Number
- 508-693-3800
Provider Business Mailing Address Details
- Address
- Po Box 951
West Tisbury, MA 02575-0951 - City
- West Tisbury
- State
- MA
- Zip
- 02575-0951
- Phone Number
- 508-693-3800
- Fax Number
- 508-693-7473
License Information
- License Number (1)
- 215639
- License State (1)
- MA
- Taxonomy (1)
- Acupuncturist · 171100000X
- License Number (2)
- 005094
- License State (2)
- CT
- Taxonomy (2)
- Physical Therapist · 225100000X
- License Number (3)
- 10886
- License State (3)
- MA
- Taxonomy (3)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Edgartown, MA
View all Physical Therapists in Edgartown →Frequently Asked Questions
What is the NPI number of Susan Sanford, PT LIC ACC?
The NPI number of Susan Sanford, PT LIC ACC is 1104905934. It was assigned on November 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Susan Sanford, PT LIC ACC?
Susan Sanford, PT LIC ACC is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 215639.
Where does Susan Sanford, PT LIC ACC practice?
The practice location is 238 Edgartown Vineyard Haven Road, Edgartown, MA 02539. The office can be reached at 508-693-3800 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104905934 directly on the NPPES registry website.