MEDICARE: SANJANAKUMARI PANDEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	055318-01	NY

General Provider Information

NPI Number	:	1134087927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANJANAKUMARI PANDEY

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3867 E TREMONT AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2479
Country	:	US
Telephone Number	:	332-378-5505
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ SANJANAKUMARI PANDEY ” Practice Location

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