Skyler Lee Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33348 Issued in FL

Practice address

1450 Northwest Blvd Ste 106
Coeur D Alene, ID 83814-5605

Phone

(208) 667-6264

Fax

(208) 664-4313

NPI assigned

Feb 12, 2018

Last updated

Apr 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy Center of Post

  • Physical Therapist
  • Post Falls, ID
  • NPI 1134296510
  NPD (past)

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1316447741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 NORTHWEST BLVD STE 106",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145605",
            "telephone_number": "208-667-6264",
            "fax_number": "208-664-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NORTHWEST BLVD STE 106",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145605",
            "telephone_number": "208-667-6264",
            "fax_number": "208-664-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1088 W Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838158741",
            "country_code": "US",
            "telephone_number": "208-772-6609",
            "fax_number": "208-762-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SKYLER",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-12",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Erik Anderson, MD
• Leonel Christine Anderson
• Lindsey Anderson, PHARM D
• Lucas Aaron Anderson, MD
• Sharon L Anderson, RD
• Jeremy E Andres, PT
• Donna Louise Andrews
• Melissa Androsov, DC
• Anesthesia Associates of Coeur D Alene PLLC
• Genita Angel

• Physical Therapist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.