Active NPI
Sidney K Anderson, PT
- Physical Therapist
- Bellingham, WA
National Provider Identifier
1487688115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3537
- Practice address
- 2130 Grant St
Bellingham, WA 98225 - Phone
- (360) 306-1103
- Fax
- (360) 715-1895
- NPI assigned
- Jul 10, 2006
- 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 | 3537 | WA | Primary |
Addresses
Primary practice location
2130 Grant St
Bellingham, WA 98225
Mailing address
3035 Silvern LN
Bellingham, WA 98226
Phone (360) 306-1103
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105059 | Other | WA | L&I OF WA |
| 7078793 | Medicaid | WA |
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 |
|---|---|---|---|
| 3537 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea2Summit PT and Sports Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
| Bay Street Oasis Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Excel Physical Therapy Inc | Past | Accepting new patients |
Organizations & group practices 3
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 Therapist
- Bellingham, WA
- NPI 1619245396
-
- Physical Therapy Clinic/Center
- Ferndale, WA
- NPI 1548621725
-
- Orthopedic Physical Therapist
- Bellingham, WA
- NPI 1629730635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1487688115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 SILVERN LN",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98226",
"telephone_number": "360-306-1103",
"fax_number": "360-715-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 GRANT ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "360-306-1103",
"fax_number": "360-715-1895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SIDNEY",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "3537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I OF WA",
"identifier": "105059",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7078793",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.