Heather Marie Andersen, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT27940 Issued in CA

Practice address

1000 N Central Ave Ste 110
Glendale, CA 91202-3685

Phone

(818) 243-8422

Fax

(818) 243-8444

NPI assigned

Sep 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Annette Tamraz Physical Therapy IncGroup PAC ID 2769661586, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Annette Tamraz Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Glendale, CA
  • NPI 1306140801

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1235853409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4364",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913134364",
            "telephone_number": "818-522-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023685",
            "telephone_number": "818-243-8422",
            "fax_number": "818-243-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liana Ananyan, DMD
• Elliot Anavim, NMD
• Monica Anaya
• Sonia Anaya
• Anchor Counseling Group, a Professional Corporation for Indiv
• Anthony K Anderson, MD
• Calista Anderson, LMFT
• Jill Page Anderson, LCSW
• Jill Suzanne Anderson, LMFT
• Keierra Anderson

• All providers in Glendale, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.