NPIMap

Michelle P. Anderson, DPT

Individual provider Active NPI Orthopedic Physical Therapist · Netcong, NJ

NPI 1265616916 · NPPES record last updated Jul 1, 2011

Key facts

NPI
1265616916
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
40QA01241300 (NJ)
Practice address
40 Main Street
Netcong, NJ 07857
Phone
(973) 448-1800
Fax
(973) 448-9955
NPI assigned
Dec 18, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Jag-One Physical Therapy, LLC Physical Therapist Past Accepting new patients
Cornerstone Physical Therapy Inc Physical Therapist Past Accepting new patients
Cornerstone Physical Therapy Health and Wellness Center, PC Past
since Jun 10, 2009		 Accepting new patients
Cornerstone Physical Therapy Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01241300 NJ
Orthopedic Physical Therapist 2251X0800X 40QA01241300 NJ Yes

Addresses

Primary practice location

40 Main Street
Netcong, NJ 07857

Mailing address

40 Main Street
Netcong, NJ 07857
Phone (973) 448-1800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2011.

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1265616916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN STREET",
            "city": "NETCONG",
            "state": "NJ",
            "postal_code": "07857",
            "telephone_number": "973-448-1800",
            "fax_number": "973-448-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN STREET",
            "city": "NETCONG",
            "state": "NJ",
            "postal_code": "07857",
            "telephone_number": "973-448-1800",
            "fax_number": "973-448-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHELLE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01241300",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01241300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Netcong, NJ

All providers in Netcong, NJ · Orthopedic Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.