NPIMap

Organization Active NPI

Anderson Physical Therapy, Inc.

Doing business as Anderson Physical Therapy

  • Physical Therapist
  • Nevada City, CA
National Provider Identifier
1073724688
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 10490 Issued in CA
Legal business name
ANDERSON PHYSICAL THERAPY, INC.
Doing business as
Anderson Physical Therapy
Practice address
202 Providence Mine Rd
Suite 206
Nevada City, CA 95959-2947
Phone
(530) 265-8100
Fax
(530) 265-8112
NPI assigned
May 25, 2007
Last updated
Sep 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Joni Anderson, PTNPI 1669694519
Title
Vice President
Phone
(530) 265-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 10490 CA Primary

Addresses

Primary practice location

202 Providence Mine Rd
Suite 206
Nevada City, CA 95959-2947

Mailing address

202 Providence Mine Rd
Suite 206
Nevada City, CA 95959-2947
Phone (530) 265-8100

Other names 1

  • Anderson Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070724000375 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274634084 Receives reassigned benefits from 4 practitioners
Practice locations: Nevada City, CA

National Provider Directory

National Provider Directory

Locations

202 Providence Mine Rd
Ste 206
Nevada City, CA 95959
Phone (530) 265-8100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1073724688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 PROVIDENCE MINE RD",
            "address_2": "SUITE 206",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592947",
            "telephone_number": "530-265-8100",
            "fax_number": "530-265-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PROVIDENCE MINE RD",
            "address_2": "SUITE 206",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592947",
            "telephone_number": "530-265-8100",
            "fax_number": "530-265-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "530-265-8100",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 10490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.