Boulder Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BOULDER PHYSICAL THERAPY, PLLC

Practice address

131 S Apple Blossom Dr Unit 112
Chelan, WA 98816-8827

Phone

(218) 791-8759

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Anderson, DPTNPI 1477927200

Title

Owner

Phone

(218) 791-8759

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Anderson, PT

  • Physical Therapist
  • Chelan, WA
  • NPI 1477927200
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1184485633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S APPLE BLOSSOM DR UNIT 112",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S APPLE BLOSSOM DR UNIT 112",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168827",
            "telephone_number": "218-791-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-791-8759",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Arnold, PHD
• Lisa Badgley, LMT
• Rhonda Lynn Barnes-Heffernan, LMP
• Bellamia Massage
• Francisco Blanco, LMT
• Tabetha Hale Bradley, M.D.
• Catherine L Bray, MD
• Barbara Brink
• Sydney Marie Brock, DO
• Ross Brown, PA

• Physical Therapy Clinic/Center in Chelan, WA
• Providers in Chelan, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.