Timothy John Anderson, PT
Individual provider Active NPI Physical Therapist · Hamburg, NY
NPI 1487878070 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487878070
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 023482-1 (NY)
- Practice address
- 4650 Southwestern Blvd
Hamburg, NY 14075-1939 - Phone
- (716) 648-2450
- Fax
- (716) 648-7585
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023482-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 023482-1 | NY | Yes |
Addresses
Primary practice location
4650 Southwestern Blvd
Hamburg, NY 14075-1939
Mailing address
72 Bramblewood LN
East Amherst, NY 14051-1413
Phone (716) 648-2450
Other providers in Hamburg, NY
- Erin E Amborski
- American Disc and Spine Inc.
- Chidinma Blessing Amuka
- Anchor Within Counseling LCSW, PLLC
- Suzanne M Andelora
- Andrew Ty Ang
- Tonimarie Answeeney
- Michael James Anzalone
- Julio Arce
- Armor Volunteer Fire Company Inc
All providers in Hamburg, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.