Active NPI
Bettina L. Andersen, PT
- Physical Therapist
- Crozet, VA
National Provider Identifier
1508046095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305006138
- Practice address
- 5690 Three Notched Rd
Suite 107
Crozet, VA 22932-3172 - Phone
- (434) 823-7628
- NPI assigned
- Nov 13, 2007
- Last updated
- May 8, 2008
- 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 | 2305006138 | VA | Primary |
Addresses
Primary practice location
5690 Three Notched Rd
Suite 107
Crozet, VA 22932-3172
Mailing address
5690 Three Notched Rd
Suite 107
Crozet, VA 22932-3172
Phone (434) 823-7628
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Physical Therapy | Physical Therapist | Past | Accepting new patients |
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 Therapist
- Charlottesville, VA
- NPI 1649337874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1508046095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5690 THREE NOTCHED RD",
"address_2": "SUITE 107",
"city": "CROZET",
"state": "VA",
"postal_code": "229323172",
"telephone_number": "434-823-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5690 THREE NOTCHED RD",
"address_2": "SUITE 107",
"city": "CROZET",
"state": "VA",
"postal_code": "229323172",
"telephone_number": "434-823-7628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "BETTINA",
"middle_name": "L.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305006138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crozet, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.