Active NPI
Catherine Joanne Anderson, DPT
- Physical Therapist
- Alton, IL
National Provider Identifier
1124566930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070022578
- Practice address
- 915 E 5TH St
Alton, IL 62002-6434 - Phone
- (618) 463-5289
- NPI assigned
- Feb 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070022578 | IL | Primary |
Addresses
Primary practice location
915 E 5TH St
Alton, IL 62002-6434
Mailing address
915 E 5TH St
Therapy Department
Alton, IL 62002-6434
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070022578 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1124566930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 E 5TH ST",
"address_2": "THERAPY DEPARTMENT",
"city": "ALTON",
"state": "IL",
"postal_code": "620026434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 E 5TH ST",
"city": "ALTON",
"state": "IL",
"postal_code": "620026434",
"telephone_number": "618-463-5289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CATHERINE",
"middle_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-01",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070022578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alton, IL
- Alton-Griffin Emergency Group PC
- Oyindamola O Aluko, MSN,APRN
- Cassandra Amberger, M.A., CCC-SLP
- Seth Anato, PHARM.D.
- Tammie Renee Anderson-Ramirez, M.S., CCC-SLP
- Emily Anderson
- Anesthesia Associates of St. Louis, Inc.
- Anesthesia Services Associates PLLC
- Anesthesia Services Associates PLLC
- Anesthesia Services Associates, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.