Cecil M. Anderson III, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2841 Issued in GA

Practice address

487 Winn Way
Suite 201
Decatur, GA 30030-1735

Phone

(404) 297-9315

NPI assigned

May 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical College of Georgia School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles L Owen Jr., PT, DPT, OCS, CSCS

  • Physical Therapist
  • Decatur, GA
  • NPI 1124304829
  Medicare reassignment

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.

• Decatur Physical Therapy & Sports Medicine

  • Physical Therapy Clinic/Center
  • Decatur, GA
  • NPI 1962841064
  NPD (past) Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568412369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 WINN WAY",
            "address_2": "SUITE 201",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301735",
            "telephone_number": "404-297-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 WINN WAY",
            "address_2": "SUITE 201",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301735",
            "telephone_number": "404-297-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CECIL",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "2841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Anderson
• Barbara Jane Anderson, PA-C
• Barry Robert Anderson, PA
• Benjamin G Anderson, PAA
• Carol Ann Anderson, RD
• Cicely Tynette Anderson, COTA
• Dashawna Candace Anderson, DSW, LCSW
• James Barksdale Anderson
• Rasheda L Anderson
• Thomas D Anderson, LCSW

• Physical Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.