Elizabeth Jane Anderson, DPT
Individual provider Active NPI Physical Therapist · Gunnison, UT
NPI 1164060240 · NPPES record last updated Jan 9, 2020
Key facts
- NPI
- 1164060240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11266121-2401 (UT)
- Practice address
- 13 E Center St
Gunnison, UT 84634 - Phone
- (435) 528-7575
- NPI assigned
- Dec 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 11266121-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy West Rehab Agency LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11266121-2401 | UT | Yes |
Addresses
Primary practice location
13 E Center St
Gunnison, UT 84634
Mailing address
525 S 300 E
Manti, UT 84642-1712
Phone (385) 335-0609
Other names
- Elizabeth Jane Anderson
Other providers in Gunnison, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2020. 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.