Organization Active NPI

Anderson Pediatric Physical Therapy LLC

  • Pediatric Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1346572971
Registry record updated Feb 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1120988 Issued in TX
Legal business name
ANDERSON PEDIATRIC PHYSICAL THERAPY LLC
Practice address
2315 River Lodge LN
Sugar Land, TX 77479-8984
Phone
(903) 723-7178
Fax
(903) 723-8252
NPI assigned
Feb 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2010

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

Authorized official

Name
Angela Anderson, PTNPI 1598878639
Title
Owner
Phone
(903) 723-7178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X 1120988 TX Primary

Addresses

Primary practice location

2315 River Lodge LN
Sugar Land, TX 77479-8984

Mailing address

2315 River Lodge LN
Sugar Land, TX 77479-8984
Phone (903) 723-7178

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265500800000",
    "number": "1346572971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 RIVER LODGE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798984",
            "telephone_number": "903-723-7178",
            "fax_number": "903-723-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 RIVER LODGE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798984",
            "telephone_number": "903-723-7178",
            "fax_number": "903-723-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PEDIATRIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-07",
        "last_updated": "2010-02-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-723-7178",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1120988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2010; 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.