Active NPI
Michael Thomas Anders, PT
- Geriatric Physical Therapist
- Norfolk, VA
National Provider Identifier
1477672004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 2305005846
- Practice address
- 249 S Newtown Rd
Norfolk, VA 23502-5718 - Phone
- (757) 892-5529
- NPI assigned
- Mar 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2305005846 | VA | Primary |
Addresses
Primary practice location
249 S Newtown Rd
Norfolk, VA 23502-5718
Mailing address
1204 Smith Cove Cir
Virginia Beach, VA 23455-6828
Phone (757) 554-0122
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305005846 | VA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477672004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 SMITH COVE CIR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556828",
"telephone_number": "757-554-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 S NEWTOWN RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235025718",
"telephone_number": "757-892-5529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERS",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "VA",
"license": "2305005846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.