Active NPI
Laura Lynn Anderson, DPT
- Physical Therapist
- Bennington, NE
National Provider Identifier
1346474079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2132
- Practice address
- 7834 N 153Rd St
Bennington, NE 68007-1565 - Phone
- (402) 210-6120
- NPI assigned
- May 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2132 | NE | Primary |
| Physical Therapist | 225100000X | 03826 | IA |
Addresses
Primary practice location
7834 N 153Rd St
Bennington, NE 68007-1565
Mailing address
7834 N 153Rd St
Bennington, NE 68007-1565
Phone (402) 210-6120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200331001596 | NE | Practitioner - Physical Therapist in Private Practice | 3971932732 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2132 | NE | MD | Hospitalist Physician |
| 03826 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Mobile Therapy, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627171200000",
"number": "1346474079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7834 N 153RD ST",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680071565",
"telephone_number": "402-210-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7834 N 153RD ST",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680071565",
"telephone_number": "402-210-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "LAURA",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-09",
"last_updated": "2021-07-25",
"certification_date": "2021-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2132",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03826",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bennington, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.