Dallin Curtis Anderson
Individual provider Active NPI Physical Therapist · Pasco, WA
NPI 1083379515 · NPPES record last updated Oct 31, 2021
Key facts
- NPI
- 1083379515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 60868557 (WA)
- Practice address
- 520 N 4TH Ave
Pasco, WA 99301-5257 - Phone
- (509) 834-9503
- NPI assigned
- Oct 31, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
5608 S Regal St
Suite 103
Spokane, WA 99223-7957
Phone (509) 724-4430
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250327001964 | WA | Practitioner - Physical Therapist in Private Practice | 1850814179 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60868557 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
5608 S Regal St
Ste 103
Spokane, WA 99223
Phone (509) 724-4430
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60868557 | WA | Yes |
Addresses
Primary practice location
520 N 4TH Ave
Pasco, WA 99301-5257
Mailing address
440 N Volland St Apt D205
Kennewick, WA 99336-2156
Phone (509) 834-9503
Other providers in Pasco, WA
- Nataly Alvarez
- American Hospitalists Inc
- Robert Kay Andelin
- Robert Paul Andelin
- Chad Eric Anderson
- Jeremy James Anderson
- Jo Ann Andrade
- Andros Orthodontics PS
- Nicholas D Andros
- Joseph Ansah
All providers in Pasco, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.