Nick J Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61068151 Issued in WA

Practice address

3017 E Francis Ave # 102
Spokane, WA 99208-2435

Phone

(509) 465-9000

Fax

(509) 465-3826

NPI assigned

Aug 24, 2020

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• A and B Physical Therapy PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1750411690
  NPD
• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • Tacoma, WA
  • NPI 1225582844
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1083227748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 102S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032272",
            "telephone_number": "509-624-4200",
            "fax_number": "509-624-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 E FRANCIS AVE # 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992082435",
            "telephone_number": "509-465-9000",
            "fax_number": "509-465-3826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9725 W Sunset Hwy",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992249426",
            "country_code": "US",
            "telephone_number": "509-624-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NICK",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61068151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Anderson
• Mariza Royce Anderson, MSW
• Meadow Marlene Anderson, MSW
• Megan Anderson, RD LD CDCES
• Michelle Anderson
• Paul D Anderson
• Rachael Anderson
• Ryan Anderson, LMT
• Sally L Anderson, LMHC
• Sarah Anderson, RDH

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.