Active NPI
Liselotte Smith-Andersen, PT
- Physical Therapist
- Roanoke, VA
National Provider Identifier
1467897397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305005537
- Practice address
- 1015 1St St SW Ste 2
Roanoke, VA 24016-4427 - Phone
- (540) 985-0500
- Fax
- (540) 985-0529
- NPI assigned
- May 6, 2013
- 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 | 2305005537 | VA | Primary |
Addresses
Primary practice location
1015 1St St SW Ste 2
Roanoke, VA 24016-4427
Mailing address
1015 1St St SW Ste 2
Roanoke, VA 24016-4427
Phone (540) 980-5000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305005537 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Basics Family Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Universal Health Corporation | Past | Accepting new patients |
Locations
7768 Williamson Rd
Roanoke, VA 24019
Phone (540) 985-0500
1015 1st St SW
Ste 2
Roanoke, VA 24016
Phone (540) 985-0500
Interoperability endpoints
- https://api.platform.athenahealth.com/16094/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Roanoke, VA
- NPI 1417998329
Physical Therapist
-
- Internal Medicine Physician
- Roanoke, VA
- NPI 1407117625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1467897397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 1ST ST SW STE 2",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164427",
"telephone_number": "540-980-5000",
"fax_number": "540-985-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 1ST ST SW STE 2",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164427",
"telephone_number": "540-985-0500",
"fax_number": "540-985-0529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-ANDERSEN",
"first_name": "LISELOTTE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-06",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305005537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.