Individual provider Active NPI

Kaitlynn Jo Anderson, PT, DPT, CSCS

  • Orthopedic Physical Therapist
  • Spokane, WA
National Provider Identifier
1225829831
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
9310 N Division St
Spokane, WA 99218-1227
Phone
(509) 789-2836
NPI assigned
May 14, 2025
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

9310 N Division St
Spokane, WA 99218-1227

Mailing address

1023 E Hawk CT
Spokane, WA 99208-7561
Phone (509) 475-9061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731004629 WA Practitioner - Physical Therapist in Private Practice 2466960521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9310 N Division St
Spokane, WA 99218-1227
Phone (509) 789-2836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Orthopaedic Specialists, P.S. CurrentSince Jul 10, 2025 Accepting new patients
Northwest Orthopaedic Specialists PS CurrentSince Jul 10, 2025 Accepting new patients

Locations

601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663

9310 N Division St
Spokane, WA 99218
Phone (509) 789-2836

Interoperability endpoints

  • Direct secure messaging: kaitlynn.anderson.1@16598.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1225829831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 E HAWK CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087561",
            "telephone_number": "509-475-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181227",
            "telephone_number": "509-789-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KAITLYNN",
        "middle_name": "JO",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.