Jessica Nicole Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18413 Issued in NC

Practice address

1807 Fordham Blvd
Chapel Hill, NC 27514-2200

Phone

(984) 974-9700

NPI assigned

Dec 17, 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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1568933596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 FORDHAM BLVD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142200",
            "telephone_number": "984-974-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 FORDHAM BLVD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142200",
            "telephone_number": "984-974-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Croasdaile Farm Pkwy",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277051331",
            "country_code": "US",
            "telephone_number": "919-384-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "18413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Anderson, RDN
• Beverly Jean Anderson, M.A., LPC
• Emily Carter Anderson, MD
• Jay A. Anderson, DDS, MD
• Jeffrey A Anderson, MD
• Meredith Anderson, AU.D.
• Teresa Mary Anderson, PHARM.D.
• Tina Anderson, NCLMBT
• Chelsea Anderton, OTR/L
• Andrew R Newberg MD PLLC

• Physical Therapist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.