Individual provider Active NPI

Martha Jo Anhalt, PTA

  • Physical Therapy Assistant
  • Harker Heights, TX
National Provider Identifier
1093358632
Registry record updated Oct 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2061942 Issued in TX
Practice address
107 Cedar Bluff Court
Harker Heights, TX 76548-8119
Phone
(254) 223-2482
NPI assigned
Oct 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2061942 TX Primary

Addresses

Primary practice location

107 Cedar Bluff Court
Harker Heights, TX 76548-8119

Mailing address

107 Cedar Bluff Court
Harker Heights, TX 76548-8119
Phone (254) 223-2482

Other names 1

  • Mrs. Martha Jo Anhalt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2061942TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572134400000",
    "number": "1093358632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CEDAR BLUFF COURT",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488119",
            "telephone_number": "254-223-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CEDAR BLUFF COURT",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488119",
            "telephone_number": "254-223-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANHALT",
        "first_name": "MARTHA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2019-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2061942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "ANHALT",
            "middle_name": "JO",
            "prefix": "MRS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.