Wesley Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2220 Issued in ND

Practice address

701 Demers Ave Ste B
Grand Forks, ND 58201-4506

Phone

(701) 772-2200

Fax

(701) 772-2800

NPI assigned

Oct 6, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabauthority LLCGroup PAC ID 1355333931, 48 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690

  MN, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245740083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 S CAROL ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461839",
            "telephone_number": "701-772-2200",
            "fax_number": "701-772-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DEMERS AVE STE B",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014506",
            "telephone_number": "701-772-2200",
            "fax_number": "701-772-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 43rd St S Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581048908",
            "country_code": "US",
            "telephone_number": "701-277-8448",
            "fax_number": "701-277-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 19th Ave N Ste K",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581022269",
            "country_code": "US",
            "telephone_number": "701-235-1400",
            "fax_number": "701-235-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 Highway 59 S Ste A",
            "address_purpose": "LOCATION",
            "city": "Thief River Falls",
            "state": "MN",
            "postal_code": "567013413",
            "country_code": "US",
            "telephone_number": "218-681-0449",
            "fax_number": "218-681-0490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2505 8th St S",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565604202",
            "country_code": "US",
            "telephone_number": "218-233-3690",
            "fax_number": "218-233-3973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WESLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "PT-10789",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "PT-2220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT-10789",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT-2220",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Anderson, OT
• Magen Anderson
• Paul Raymond Anderson, PA-C
• Shaylah Anderson
• Tiffany Jean Anderson, DPT
• Heidi L Andruski, CRNA
• Charlie Joseph Andrys
• Anew Angela Muhs Licsw PLLC
• Anew Julie Riddle MSW Licsw PLLC
• Jennifer Joy Anhorn, SLP

• Physical Therapist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.