Active NPI
Heather Nicole Anderson, DPT
- Physical Therapist
- Saint Paul, MN
National Provider Identifier
1316323033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10971
- Practice address
- 506 Kenny Rd Ste 100
Saint Paul, MN 55130-4555 - Phone
- (937) 533-3232
- NPI assigned
- Aug 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014807 | OH | |
| Physical Therapist | 225100000X | 11-05131 | KS | |
| Physical Therapist | 225100000X | 10971 | MN | Primary |
Addresses
Primary practice location
506 Kenny Rd Ste 100
Saint Paul, MN 55130-4555
Mailing address
506 Kenny Rd
Saint Paul, MN 55130-4555
Phone (937) 533-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10971 | MN | MD | Emergency Medical Services (Emergency Medicine) Physician |
| 11-05131 | KS | MD | Physical Therapist |
| 014807 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1316323033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 KENNY RD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551304555",
"telephone_number": "937-533-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 KENNY RD STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551304555",
"telephone_number": "937-533-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "HEATHER",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "014807",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-05131",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.