NPIMap

Organization Active NPI

Anderson Physical Therapy Etc PC

  • Physical Therapy Clinic/Center
  • Cochranton, PA
National Provider Identifier
1346956554
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ANDERSON PHYSICAL THERAPY ETC PC
Doing business as
Anderson Physical Therapy Etc PC
Practice address
180 N Franklin St Ste F
Cochranton, PA 16314-9706
Phone
(814) 638-0238
Fax
(814) 638-0007
NPI assigned
Jan 31, 2023
Last updated
Jan 31, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ANDERSON PHYSICAL THERAPY ETC PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Kirk A Master, PTA
Title
Director
Phone
(814) 673-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

180 N Franklin St Ste F
Cochranton, PA 16314-9706

Mailing address

202 Union St Ste 1
Titusville, PA 16354-1166
Phone (814) 670-0534

Other names 1

  • Anderson Physical Therapy Etc PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anderson Physical Ther2 organizations share this tax ID, including this one
Part of
Anderson Physical Ther

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1346956554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 UNION ST STE 1",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541166",
            "telephone_number": "814-670-0534",
            "fax_number": "814-670-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N FRANKLIN ST STE F",
            "city": "COCHRANTON",
            "state": "PA",
            "postal_code": "163149706",
            "telephone_number": "814-638-0238",
            "fax_number": "814-638-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PHYSICAL THERAPY ETC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDERSON PHYSICAL THERAPY ETC PC",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "MASTER",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "814-673-4447",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Physical Therapy Etc PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cochranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.