Gretchen Elizabeth Anderson, PT
Individual provider Active NPI Physical Therapist · Spokane Valley, WA
NPI 1306820709 · NPPES record last updated Jun 20, 2023
Key facts
- NPI
- 1306820709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT00005905 (WA)
- Practice address
- 10410 E 9TH Ave
Spokane Valley, WA 99206-3510 - Phone
- (509) 321-9050
- Fax
- (509) 924-3343
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00005905 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00005905 | WA | Yes |
Addresses
Primary practice location
10410 E 9TH Ave
Spokane Valley, WA 99206-3510
Mailing address
10410 E 9TH Ave
Spokane Valley, WA 99206-3510
Phone (509) 321-9050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8334955 | Medicaid | WA |
Other providers in Spokane Valley, WA
- Anna Anderson
- Annette Michelle Anderson
- Christopher George Anderson
- Darren Anderson
- Elzbieta H Anderson
- Jacqueline Alycia Anderson
- Jamie Anderson
- Kaylee Anne Anderson
- Kerry Deann Anderson
- Shane S Anderson
All providers in Spokane Valley, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.