Active NPI
Stephanie Ann Anderson, PT DPT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1174627731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29370
- Practice address
- 13330 Usf Laurel Dr
3Rd Floor
Tampa, FL 33612-6601 - Phone
- (813) 974-8613
- NPI assigned
- Sep 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 70015222 | IL | |
| Physical Therapist | 225100000X | PT29370 | FL | Primary |
Addresses
Primary practice location
13330 Usf Laurel Dr
3Rd Floor
Tampa, FL 33612-6601
Mailing address
PO Box 917770
Orlando, FL 32891-7770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4X9NE | Other | FL | BLUE CROSS BLUE SHIELD |
| 016138900 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70015222 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho-Sport, Inc. | Physical Therapist | Past | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | Past | Accepting new patients |
| The Sports Medicine & Rehabilitation Institute P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Oswego, IL
- NPI 1457462053
-
- Physical Therapist
- Forest Park, IL
- NPI 1942379110
-
- Physical Therapist
- Naperville, IL
- NPI 1316989684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1174627731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328917770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13330 USF LAUREL DR",
"address_2": "3RD FLOOR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336126601",
"telephone_number": "813-974-8613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70015222",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT29370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4X9NE",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016138900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.