Stephen Edward Anderson, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Seattle, WA
NPI 1114901147 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1114901147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT00002911 (WA)
- Practice address
- 4701 41St Ave SW
Tai West Seattle Physical Therapy Ste 100
Seattle, WA 98116-4597 - Phone
- (206) 932-8363
- Fax
- (206) 932-4973
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1017 | OR | MD | Clinical Psychologist |
| PT00002911 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past |
Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00002911 | WA | Yes |
| Physical Therapist | 225100000X | 1017 | OR |
Addresses
Primary practice location
4701 41St Ave SW
Tai West Seattle Physical Therapy Ste 100
Seattle, WA 98116-4597
Mailing address
11481 SW Hall Blvd
Therapeutic Associates Inc Ste 201
Portland, OR 97223-8403
Phone (800) 219-8835
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7046626 | Medicaid | WA |
Other providers in Seattle, WA
- Sarah Anderson
- Sarah Anderson
- Shanchareese Aunja Anderson
- Shane Selassie Anderson
- Shawn Randall Anderson
- Steven John Anderson
- Steven Martin Anderson
- Sue Elaine Anderson
- Susan J. Anderson
- Tamara Lynn Anderson
All providers in Seattle, 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 Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.