Active NPI
Traceyann Anderson, PT
- Physical Therapist
- Blue Bell, PA
National Provider Identifier
1437521234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT024419
- Practice address
- 572 Bolton PL
Blue Bell, PA 19422-2121 - Phone
- (301) 848-3080
- NPI assigned
- Oct 20, 2015
- Last updated
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT024419 | PA | Primary |
Addresses
Primary practice location
572 Bolton PL
Blue Bell, PA 19422-2121
Mailing address
572 Bolton PL
Blue Bell, PA 19422-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT024419 | Other | PA | BUREAU OF PROFFESSIONAL AND OCCUPATIONAL AFFAIRS - PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayada Home Health Care, Inc. | Past | Accepting new patients |
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.
-
- Home Health Agency
- Newtown Square, PA
- NPI 1497796544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1437521234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 BOLTON PL",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194222121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 BOLTON PL",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194222121",
"telephone_number": "301-848-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "TRACEYANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT024419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF PROFFESSIONAL AND OCCUPATIONAL AFFAIRS - PT LICENSE",
"identifier": "PT024419",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blue Bell, PA
- Harry Altman
- Always Ready Home Care
- American Homecare Supply Midatlantic (Air Products Healthcare Pharmacy)
- Amudipes Residential and Day Treatment Facilities
- Amudipes Service Coordinator Agency
- Derrick Andrews, ATC
- Angelic Health of PA LLC (Angelic Hospice)
- Angelic Health of PA LLC
- Angelic Health Practice Group (Angelic Palliative Care of PA)
- Angelic Health Practice Group (Angelic Behavioral Health of PA)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.