Anderson Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ANDERSON PHYSICAL THERAPY LLC

Doing business as

Back Pain Relief Center, Diabetes Control Center

Practice address

3901 Dutchmans Lane
Ste 202
Louisville, KY 40207-4799

Phone

(502) 708-2940

Fax

(502) 708-2942

NPI assigned

Oct 4, 2008

Last updated

Oct 24, 2017By 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

Mr. Arnold Barth Miller

Title

Coo

Phone

(502) 235-1099

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Back Pain Relief Center, Diabetes Control Center Doing business as

Locations

Practitioners 2

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.

• Kathleen Cain Wisdom, D.C.

  • Internist Chiropractor
  • Crestwood, KY
  • NPI 1316005937
  NPD (past)
• Rodney Quinn Wisdom, D.C.

  • Chiropractor
  • Louisville, KY
  • NPI 1982678140
  NPD (past)

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

{
    "created_epoch": "1223078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1184875577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST STE 2014",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022928",
            "telephone_number": "502-409-4174",
            "fax_number": "502-882-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 DUTCHMANS LANE",
            "address_2": "STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074799",
            "telephone_number": "502-708-2940",
            "fax_number": "502-708-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-04",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "BARTH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "502-235-1099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00883001",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Pain Relief Center, Diabetes Control Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Andersen-Thomas, M.D.
• Anderson Behavioral Health
• Anderson Chiropractic & Rehab PLLC
• Anderson Chiropractic and Rehab
• Anderson Chiropractic, PSC
• Debra Anderson-Brown, LCSW
• Amanda Anderson, OTR/L
• Annabel F Anderson, LMFT
• Ashley Anderson
• Ashley Danielle Anderson, APRN

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.