Ila Beth Anderson, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002589 Issued in WV

Practice address

51 Southland Dr
Suite 2300
Fairmont, WV 26554-2244

Phone

(304) 363-3167

Fax

(304) 363-1725

NPI assigned

Dec 15, 2006

Last updated

Jun 8, 2009By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

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.

• Preston Rehabilitation & Orthopedic Physical Therapy, Inc

  • Physical Therapist
  • Kingwood, WV
  • NPI 1497700918
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1073675146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 AIRPORT BLVD",
            "address_2": "STE. 14",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053900",
            "telephone_number": "304-276-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SOUTHLAND DR",
            "address_2": "SUITE 2300",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542244",
            "telephone_number": "304-363-3167",
            "fax_number": "304-363-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ILA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "002589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Allmond
• Almost Heaven Family Chiropractic Health Care Center Inc.
• Earl Ambrozak, PTA
• American Homecare Services, Inc
• Louise A Amrine, PT
• Joanne Anderson, MSW,LGSW
• Andrea Pammer LLC Dba Pammerpsych
• Haley Anglin
• Anjaneyulu Thagirisa, M.D.
• Rebekah Christine Anyanwu

• Physical Therapist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.