Individual provider Active NPI

Angela Anderson, PT, DPT, CIDN

  • Physical Therapist
  • Colfax, WA
National Provider Identifier
1538535141
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60140713 Issued in WA
Practice address
1200 W Fairview St
Colfax, WA 99111-9552
Phone
(509) 397-5733
NPI assigned
Aug 18, 2015
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-2564 ID
Physical Therapist 225100000X PTDN-7701 ID
Physical Therapist 225100000X PT60140713 WA Primary

Addresses

Primary practice location

1200 W Fairview St
Colfax, WA 99111-9552

Mailing address

705 S Crestview Dr
Colfax, WA 99111-9506
Phone (509) 553-9028

Other practice location 1

705 S Crestview Dr
Colfax, WA 99111-9506
Phone (509) 553-9028

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela.anderson@whmc.org Direct Whitman County Public Hospital District NO 2

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT-2564IDMDPhysical Therapist
PTDN-7701IDMDPhysical Therapist
PT60140713WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gritman Medical Center Inc. PastSince Aug 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angela.anderson@whmc.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1538535141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S CRESTVIEW DR",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119506",
            "telephone_number": "509-553-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W FAIRVIEW ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119552",
            "telephone_number": "509-397-5733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 S Crestview Dr",
            "address_purpose": "LOCATION",
            "city": "Colfax",
            "state": "WA",
            "postal_code": "991119506",
            "country_code": "US",
            "telephone_number": "509-553-9028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANGELA",
        "credential": "PT, DPT, CIDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2564",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PTDN-7701",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60140713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.anderson@whmc.org",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Whitman County Public Hospital District NO 2",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1200 W Fairview St",
            "city": "Colfax",
            "state": "WA",
            "country_code": "US",
            "postal_code": "991119552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colfax, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.