Organization Active NPI

Christina L Anderson MPT Inc

  • Physical Therapy Clinic/Center
  • Kankakee, IL
National Provider Identifier
1003190125
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070013582 Issued in IL
Legal business name
CHRISTINA L ANDERSON MPT INC
Practice address
1786 Indian TRL
Kankakee, IL 60901-6249
Phone
(815) 937-0966
NPI assigned
Oct 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Mrs. Christina L Anderson, MPT
Title
President
Phone
(815) 937-0966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070013582 IL Primary

Addresses

Primary practice location

1786 Indian TRL
Kankakee, IL 60901-6249

Mailing address

1786 Indian TRL
Kankakee, IL 60901-6249
Phone (815) 937-0966

Other names 1

  • A Bright Start Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1003190125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 INDIAN TRL",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609016249",
            "telephone_number": "815-937-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 INDIAN TRL",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609016249",
            "telephone_number": "815-937-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA L ANDERSON MPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-937-0966",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070013582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Bright Start Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.