Active NPI
Joshua Anderson, PT
- Physical Therapist
- Chelan, WA
National Provider Identifier
1477927200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61085769
- 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, 2024
- Sex
- Male
- 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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT61085769 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Physical Therapy, PLLC | Current | 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.
-
- Physical Therapy Clinic/Center
- Chelan, WA
- NPI 1184485633
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.