Active NPI
Beth Claire Anderson, P.T.
- Physical Therapist
- Frisco, TX
National Provider Identifier
1073601845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1050953
- Practice address
- 2611 Internet Blvd
Suite 107
Frisco, TX 75034-9085 - Phone
- (972) 377-7289
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1050953 | TX | Primary |
Addresses
Primary practice location
2611 Internet Blvd
Suite 107
Frisco, TX 75034-9085
Mailing address
6201 Autumnwood
Frisco, TX 75035-7303
Phone (214) 277-4479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158625701 | Medicaid | TX |
Other names 1
- Elizabeth Claire Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1050953 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1073601845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 AUTUMNWOOD",
"city": "FRISCO",
"state": "TX",
"postal_code": "750357303",
"telephone_number": "214-277-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 INTERNET BLVD",
"address_2": "SUITE 107",
"city": "FRISCO",
"state": "TX",
"postal_code": "750349085",
"telephone_number": "972-377-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "BETH",
"middle_name": "CLAIRE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1050953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158625701",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "ANDERSON",
"middle_name": "CLAIRE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.