Christopher Stephen Anderson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13301 Issued in MN

Practice address

1835 County Road C W Ste 41
Roseville, MN 55113-1343

Phone

(651) 638-0080

NPI assigned

Sep 5, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Novacare Outpatient Rehabilitation East Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Vadnais Heights, MN
  • NPI 1518963909

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1134905151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 ABBOTT AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 COUNTY ROAD C W STE 41",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131343",
            "telephone_number": "651-638-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Lab LLC
• Mahamed Anbaar
• Amy Sue Andersen, MPT
• Ruth Carol Anderson-Benge
• Ashley Christine Anderson, M.D.
• Clarissa J. Anderson, MA
• Donna Anderson, LICSW
• Jill Anderson
• Kerry Lynn Anderson, PHARMD, RPH
• Marnna Anderson

• Physical Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.