Paul D. Anderson, MPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4777580-2401 Issued in UT

Practice address

75 W Main Street CT Ste 100
Alpine, UT 84004-5602

Phone

(801) 216-4298

Fax

(801) 216-4298

NPI assigned

Oct 2, 2008

Last updated

Oct 2, 2008By the provider in NPPES

Sex

Male

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 UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Alpine Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Alpine, UT
  • NPI 1194965665
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1063663540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W MAIN STREET CT STE 100",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840045602",
            "telephone_number": "801-216-4298",
            "fax_number": "801-216-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W MAIN STREET CT STE 100",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840045602",
            "telephone_number": "801-216-4298",
            "fax_number": "801-216-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PAUL",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "4777580-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpine Family Medicine LLC
• Alpine Physical Therapy LLC
• Alpine Recovery Lodge LLC
• Alpine Recovery Lodge LLC
• Chris Donald Anderson, PHD
• Douglas Whitney Ashton, DPT
• Amber Astle
• Azova Care Group (FL), PLLC
• Desiree Beddes
• Beehive Home Care (Aerie Home and Personal Care)

• Orthopedic Physical Therapist in Alpine, UT
• Providers in Alpine, UT by specialty
• Orthopedic Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.