Charllotte Nicolle Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

291745 Issued in CA

Practice address

1539 Chestnut St
Redding, CA 96001-1639

Phone

(760) 793-2237

NPI assigned

Sep 1, 2016

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain Communities Healthcare District

  • Medicare Defined Swing Bed Hospital Unit
  • Weaverville, CA
  • NPI 1407027568

  CA

  Medicare reassignment NPD
• Mountain Communities Healthcare District

  • Skilled Nursing Facility
  • Weaverville, CA
  • NPI 1154404010
  NPD
• Mountain Communities Healthcare District

  • Critical Access Hospital
  • Weaverville, CA
  • NPI 1750462271
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1033665609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 CHESTNUT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011639",
            "telephone_number": "760-793-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 CHESTNUT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011639",
            "telephone_number": "760-793-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLLOTTE",
        "middle_name": "NICOLLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Amoako, CASE MANAGER
• Adithya Andanappa
• Kay Miller Andersen, D.C.
• Guillerma (Emma) Anderson-Smith
• Annika Anderson
• Dana Anderson, FNP-BC
• Dana R Anderson, PSYD
• Gabriel Andrew Anderson, M.A.ED., LPCC, AMFT
• Jarred Anderson, DO
• Kendon Lloyd Anderson

• All providers in Redding, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.