Amber Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2121 S Kinnickinnic Ave
Ste 3
Milwaukee, WI 53207-1364

Phone

(414) 744-0707

Fax

(414) 744-0708

NPI assigned

Jul 31, 2014

Last updated

Mar 13, 2018By 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 WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Wisconsin School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thera-Dynamics SCGroup PAC ID 8820010317, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amber.anderson@2671.securemail.prognocis.com
• FHIR API: https://api.platform.athenahealth.com/18762/brand/1/csg/1/fhir/r4

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.

• Thera-Dynamics, S.C.

  • Physical Therapy Clinic/Center
  • Milwaukee, WI
  • NPI 1851366983

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Procare Medical Group SC

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1922164656
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1467860650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S KINNICKINNIC AVE",
            "address_2": "STE 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071364",
            "telephone_number": "414-744-0707",
            "fax_number": "414-744-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S KINNICKINNIC AVE",
            "address_2": "STE 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071364",
            "telephone_number": "414-744-0707",
            "fax_number": "414-744-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMBER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly J Anderson Khan, PSYD
• Tiffany Ann Anderson-Kather, FNP
• Cheryl Anderson-Luckett, LPN
• Regina Robin Anderson-Spann
• Amanda Kay Anderson, PTA
• Andrea Anderson, MD
• Angela Anderson
• Anne L Anderson, PA
• Ashley Anderson
• Carrie Anderson

• Physical Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.