Active NPI
Anthony Ray Waters, MPT
- Orthopedic Physical Therapist
- Rolling Hills Estates, CA
National Provider Identifier
1326514811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 18818
- Practice address
- 550 Deep Valley Dr
Rolling Hills Estates, CA 90274-3664 - Phone
- (310) 544-6264
- NPI assigned
- Oct 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 18818 | CA | Primary |
Addresses
Primary practice location
550 Deep Valley Dr
Rolling Hills Estates, CA 90274-3664
Mailing address
25017 Doria Ave
Lomita, CA 90717-1707
Phone (310) 528-0733
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18818 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1326514811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25017 DORIA AVE",
"city": "LOMITA",
"state": "CA",
"postal_code": "907171707",
"telephone_number": "310-528-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 DEEP VALLEY DR",
"city": "ROLLING HILLS ESTATES",
"state": "CA",
"postal_code": "902743664",
"telephone_number": "310-544-6264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "ANTHONY",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "18818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolling Hills Estates, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.