Active NPI
Eric Joseph Anderson, PT,DPT
- Physical Therapist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029971
- Practice address
- 2350 W Oregon Ave
Philadelphia, PA 19145-4122 - Phone
- (215) 336-6630
- NPI assigned
- Sep 18, 2019
- Last updated
- May 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 044937 | NY | |
| Physical Therapist | 225100000X | 029971 | PA | Primary |
Addresses
Primary practice location
2350 W Oregon Ave
Philadelphia, PA 19145-4122
Mailing address
604 Miller St
Philadelphia, PA 19125-2722
Phone (718) 689-3662
Other practice location 1
1351 Forest Ave
Staten Island, NY 10302-2049
Phone (718) 390-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1351 Forest Ave
Staten Island, NY 10302-2049
Phone (718) 390-0060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029971 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511
900 Route 9 N
Ste 410
Woodbridge, NJ 07095
4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949
1243 Woodrow Rd
Ste 323
Staten Island, NY 10309
Phone (718) 966-0111
1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060
4079 Richmond Ave
Staten Island, NY 10312
Phone (718) 481-2020
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1790013282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1396395653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 MILLER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191252722",
"telephone_number": "718-689-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 W OREGON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191454122",
"telephone_number": "215-336-6630"
}
],
"practiceLocations": [
{
"address_1": "1351 Forest Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103022049",
"country_code": "US",
"telephone_number": "718-390-0090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "ERIC",
"middle_name": "JOSEPH",
"credential": "PT,DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-18",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044937",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "029971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.