Nina M Anderson II

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306601527 Issued in VA

Practice address

1201 Proust Rd
Virginia Beach, VA 23454-6648

Phone

(757) 427-2828

NPI assigned

Oct 17, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1003005901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PROUST RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546648",
            "telephone_number": "757-427-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PROUST RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546648",
            "telephone_number": "757-427-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306601527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Wesley Anderson Jr., D.D.S.
• Jennifer Lee Anderson, MA
• Judith M Anderson, PT
• Marley Anderson, DPT
• Melanie Anderson
• Robin Nicole Anderson, MD
• Ruth Louise Anderson
• Sarah E Anderson, NP-C
• Susan M Anderson, M.S. CCC-SLP
• Vernica Anderson, FNP-C

• Physical Therapy Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.