Alexandra Anderson

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

297661 Issued in CA

Practice address

9333 Genesee Ave Ste 350B
San Diego, CA 92121-2111

Phone

(858) 455-8584

NPI assigned

Jan 24, 2020

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Female

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Origin Physical Therapy Ca IncGroup PAC ID 9133650427, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Origin Physical Therapy Ca Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1982169595
  Medicare reassignment Care Compare group NPD
• Function for Life Physical Therapy, Inc.

  dba Longevity Physical Therapy

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1568767309
  Medicare reassignment NPD
• MKC Physical Therapy Inc

  dba Advanced Physiotherapy

  • Physical Therapist
  • El Cajon, CA
  • NPI 1609117829
  NPD (past)

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1346870706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S MYERS ST APT B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 GENESEE AVE STE 350B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212111",
            "telephone_number": "858-455-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "297661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson Chiropractic & Wellness
• Cynthia Anderson Howe, DACM, L.AC.
• Audrey Anderson Teshima, MFT INTERN
• Hailey Lin Anderson-Cera
• Adriana Anderson, BCBA
• Alexandra Anderson
• Alexis Kiana Anderson
• Alexis Lee Anderson, RDH, BSDH
• Amy Lynn Anderson, LCSW
• Anna V Anderson

• Physical Medicine & Rehabilitation Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.