Nicole A Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT292726 Issued in CA

Practice address

260 Newport Center Dr Ste 502
Newport Beach, CA 92660-7520

Phone

(949) 529-1184

Fax

(949) 861-9990

NPI assigned

May 1, 2017

Last updated

May 1, 2017By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1578099214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NEWPORT CENTER DR STE 502",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607520",
            "telephone_number": "949-529-1184",
            "fax_number": "949-861-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NEWPORT CENTER DR STE 502",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607520",
            "telephone_number": "949-529-1184",
            "fax_number": "949-861-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Louise Anderson, PSY. D., M.F.T.
• John H Anderson, DDS
• Joyce E. Anderson, R.N.F.A.
• Justin Bentley Anderson, PA-C
• Natalie M Anderson, LMFT
• Robert Evan Anderson, M.D.
• Martin Andrade, DPT
• John Andre, MD
• Andrea M Wagner Psychologist PC (Redeemed Mental Health)
• Andrew Nguyen DO a Professional Medical Corporation (Newport Concierge Physicians)

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.