Individual provider Active NPI

Joshua Anderson, PT

  • Physical Therapist
  • Chelan, WA
National Provider Identifier
1477927200
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61085769 Issued in WA
Practice address
131 S Apple Blossom Dr Unit 112
Chelan, WA 98816-8827
Phone
(218) 791-8759
NPI assigned
Nov 17, 2015
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61085769 WA Primary

Addresses

Primary practice location

131 S Apple Blossom Dr Unit 112
Chelan, WA 98816-8827

Mailing address

421 Sunny Brooke LN
Chelan, WA 98816-3169
Phone (218) 791-8759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241015002881 WA Practitioner - Physical Therapist in Private Practice 8729510797 Practice locations: Chelan, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 S Apple Blossom Dr
Unit 112
Chelan, WA 98816-8827
Phone (509) 883-8360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61085769WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Physical Therapy, PLLC CurrentSince Jan 28, 2024 Accepting new patients

Locations

131 S Apple Blossom Dr
Unit 112
Chelan, WA 98816
Phone (218) 791-8759

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.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1477927200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SUNNY BROOKE LN",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988163169",
            "telephone_number": "218-791-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S APPLE BLOSSOM DR UNIT 112",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168827",
            "telephone_number": "218-791-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOSHUA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61085769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelan, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.