Anita Ehrenfelt, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

07483 Issued in OR

Practice address

3007 NE West Devils Lake Rd
Lincoln City, OR 97367-5131

Phone

(541) 994-6252

Fax

(541) 994-6355

NPI assigned

Jan 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1508373663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-682-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 NE WEST DEVILS LAKE RD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675131",
            "telephone_number": "541-994-6252",
            "fax_number": "541-994-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENFELT",
        "first_name": "ANITA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "07483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Duckett, DO
• Kylar A Dunn
• Katie Duvall, LMT
• Teressa Dyer, PHARMD
• Kimberly Carleen Edwards, RN DNP FNP
• Zachery Ehrenfelt
• Kayla Eliott, DMD
• Katie Elliott
• Shannon Lee English, D.D.S.
• Candise Rose Epperson, QMHA

• Physical Therapy Assistant in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.