David Odell Anderson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23390 Issued in FL

Practice address

1439 Artimino LN
Boynton Beach, FL 33436-1111

Phone

(561) 797-7987

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Elite Integrated Therapy Centers, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1184673600
  NPD (past)
• Sports Spine & Industrial, Inc.

  • Physical Therapist
  • Greer, SC
  • NPI 1093748121
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1336293133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 ARTIMINO LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361111",
            "telephone_number": "843-834-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 ARTIMINO LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361111",
            "telephone_number": "561-797-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DAVID",
        "middle_name": "ODELL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4296",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "23390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1753",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amicus Medical Center LLC
• Amicus Medical Center LLC
• Christina Lynn Amoroso, A.R.N.P
• Victoria Eugenia Andarcia, M.D.
• Altonio Letroy Anders
• Eric Ricahrd Anderson, CAC
• Katherine Andrade, DMD
• Osledis Dayana Andrade
• Alexandra Andreoni
• Andres a Albornoz MD PA

• All providers in Boynton Beach, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.