Steven Blaine Anderson, MPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

62625 Issued in OR

Practice address

2671 SW 4TH Ave
Ontario, OR 97914-1833

Phone

(541) 889-2221

Fax

(541) 889-3437

NPI assigned

Jul 5, 2007

Sex

Male

Sole proprietor

No

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.

• Malheur County

  • State or Local Public Health Clinic/Center
  • Ontario, OR
  • NPI 1417087297
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1265630818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 SYRINGA SPRINGS DR",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836195023",
            "telephone_number": "801-995-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 SW 4TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141833",
            "telephone_number": "541-889-2221",
            "fax_number": "541-889-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N 16th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Payette",
            "state": "ID",
            "postal_code": "836612782",
            "country_code": "US",
            "telephone_number": "208-739-4453",
            "fax_number": "208-739-4454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEVEN",
        "middle_name": "BLAINE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-5566",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "6588519-2401",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "62625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carina Alva
• Stephen K Ames, M.D.
• Annette Doreen Anderson
• James Dwight Anderson, RPH
• Sheridan Marie Anderson, MSW
• Sarah Andrade, LCSW
• Kacey L Andreasen, PA-C
• Bradley Lawrence Andrews
• Ann a Easly OD PC
• Annette Louise Koski

• All providers in Ontario, OR
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.