Justin Earl Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2388 Issued in ND

Practice address

5300 12TH St S
Fargo, ND 58104-4034

Phone

(701) 346-0222

Fax

(701) 346-0223

NPI assigned

Oct 11, 2019

Sex

Male

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 ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Motion Therapy LLC 4 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 and National Provider Directory roles.

• Complete Motion Therapy LLC

  • Physical Therapy Clinic/Center
  • Casselton, ND
  • NPI 1720785132

  ND, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690

  ND, Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1386286276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 12TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783119",
            "telephone_number": "218-242-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 12TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044034",
            "telephone_number": "701-346-0222",
            "fax_number": "701-346-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JUSTIN",
        "middle_name": "EARL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-11",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Anderson, LAPC
• Jennifer Lenore Anderson, MSW, LICSW
• Joan M Anderson, LICSW
• Joelle Denise Anderson, OTR/L
• Jon D Anderson, DDS
• Kalli Anderson
• Kittery Anderson
• Leah Anderson
• Lindsay Nichole Anderson, PH.D.
• Logan Anderson

• All providers in Fargo, ND
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.