Donald Anderson Jr.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

75010003128 Issued in MI

Practice address

5060 Jackson Rd Ste D
Ann Arbor, MI 48103-1867

Phone

(734) 627-8001

Fax

(734) 433-1989

NPI assigned

Oct 27, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Life Skills Community Rehabilitation & Associates LLC

  • Occupational Therapist
  • Ann Arbor, MI
  • NPI 1871722207

  Massage Therapist

  NPD
• Life Skills Community Rehabilitation & Associates LLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1699624718
  NPD (past)
• Theracare Rehab LLC

  • Rehabilitation Hospital Unit
  • Spring Arbor, MI
  • NPI 1295965911
  NPD (past)

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1477005254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 JACKSON RD STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031867",
            "telephone_number": "734-635-7187",
            "fax_number": "734-433-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 JACKSON RD STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031867",
            "telephone_number": "734-627-8001",
            "fax_number": "734-433-1989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42456 Cherry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481873401",
            "country_code": "US",
            "telephone_number": "734-844-1478",
            "fax_number": "734-468-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DONALD",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-27",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004901",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "75010003128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Anderson
• Amanda Anderson
• Bruce Ray Anderson, LLP
• Christine Marie Anderson, MD
• Daniel Edward Anderson, LMSW
• Douglas Henry Anderson, MD
• Douglas Wyatt Anderson, MD
• Issac Charles Anderson
• Joel Anderson, LLMSW
• Lauren Elizabeth Anderson, MD

• Massage Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.