Individual provider Active NPI

Teresa Jane Anderson, BS

  • Physical Therapist
  • Elma, WA
National Provider Identifier
1083779433
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007011 Issued in WA
Practice address
26 Abbott Rd
Elma, WA 98541-9433
Phone
(206) 656-7300
Fax
(206) 686-7300
NPI assigned
Dec 26, 2006
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00007011 WA Primary

Addresses

Primary practice location

26 Abbott Rd
Elma, WA 98541-9433

Mailing address

9509 48TH Ave NE
Seattle, WA 98115-2623
Phone (206) 718-8649

Other names 1

  • Teresa Jane Hanchett Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150212000529 WA Practitioner - Physical Therapist in Private Practice 5597089672 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Community Hospital Current Accepting new patients
Grays Harbor Community Hospital CurrentSince Oct 11, 2024 Accepting new patients
Grays Harbor Community Hospital CurrentSince Oct 11, 2024 Accepting new patients
Empowerme Rehabilitation Wa, PC Physical Therapist CurrentSince Nov 22, 2022 Accepting new patients
Northwest Therapy Center, LLC Physical Therapist Past Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6765

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1083779433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9509 48TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152623",
            "telephone_number": "206-718-8649",
            "fax_number": "206-686-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ABBOTT RD",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "985419433",
            "telephone_number": "206-656-7300",
            "fax_number": "206-686-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TERESA",
        "middle_name": "JANE",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "HANCHETT",
            "middle_name": "JANE",
            "credential": "BS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.