Brian Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

961 W 18TH St
Chicago, IL 60608-2362

Phone

(312) 513-0170

NPI assigned

Sep 16, 2020

Sex

Male

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 IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physio Health PLLCGroup PAC ID 3971994526, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Physio Health PLLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1881267052
  Medicare reassignment Care Compare group Authorized official
• Physiohealth Medical Group LLC

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1972365187
  NPD Authorized official
• Curavita LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1902603467
  NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1265048243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082362",
            "telephone_number": "312-513-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRIAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azhalaun Anderson
• Belinda Denise Anderson
• Bernadette Anderson
• Braden Anderson
• Breanna Anderson, DPT
• Brian Richard Anderson, DC, MPH
• Brook Marie Anderson, PA
• Camara Sharez Anderson, MD
• Carly Marie Anderson, LPC
• Christine Melitta Anderson, M.D.

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.