Bettina L. Andersen, PT – Physical Therapist

Key facts

NPI: 1508046095
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 2305006138 (VA)
Practice address: 5690 Three Notched Rd
Suite 107
Crozet, VA 22932-3172
Phone: (434) 823-7628
NPI assigned: Nov 13, 2007
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Albemarle Physical Therapy Physical Therapist · Charlottesville, VA · NPI 1649337874

NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
2305006138	VA	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Albemarle Physical Therapy	Physical Therapist	Past since Oct 5, 2015	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	2305006138	VA	Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 8, 2008.

{
    "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

All providers in Crozet, VA · Physical Therapist in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2008. 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.

Verify at the official NPI Registry.