Anne Crowell Anderson, PTA
Individual provider Active NPI Physical Therapy Assistant · Davis, CA
NPI 1124856893 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1124856893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 53407 (CA)
- Practice address
- 1515 Shasta Dr
Davis, CA 95616-6691 - Phone
- (530) 747-7000
- NPI assigned
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 53407 | CA | Yes |
Addresses
Primary practice location
1515 Shasta Dr
Davis, CA 95616-6691
Mailing address
4560 SE International Way Ste 100
Milwaukie, OR 97222-4628
Other providers in Davis, CA
- Elliott Ames
- Irene Ammar
- Sharon Amon
- Adriana Anaya
- Emiko Lea Ancheta
- Ashley Hartt Anderson
- Jennifer Anne Anderson
- Kimberly Jane Anderson
- Susan Andrek
- Adinda Andresen
All providers in Davis, CA · Physical Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. 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.