Maxine Anderson, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9614 Issued in CA

Practice address

14566 Seventh St
Victorville, CA 92395-4214

Phone

(760) 843-0895

Fax

(760) 843-0894

NPI assigned

Apr 28, 2008

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C and a Health Services

  • Physical Therapy Clinic/Center
  • Santa Ana, CA
  • NPI 1093931883
  NPD (past)
• P and a Health Services

  • Physical Therapy Clinic/Center
  • Victorville, CA
  • NPI 1104041144

  Physical Therapist

  NPD (past)
• PT Plus Rehab, Inc

  • Physical Therapy Clinic/Center
  • Santa Ana, CA
  • NPI 1457675662

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1578738829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMMOND",
            "address_2": "UNIT C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181680",
            "telephone_number": "949-770-6022",
            "fax_number": "949-770-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14566 SEVENTH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954214",
            "telephone_number": "760-843-0895",
            "fax_number": "760-843-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MAXINE",
        "name_prefix": "Ms.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "9614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Snow Anderson
• Deborah Louise Anderson, NURSE PRACTITIONER
• Ilana Anderson
• Ivy Anderson
• Jack Anderson
• Meghan Anderson
• Verdelle Anderson
• Abhijeet G Andrews
• Allison Marie Andrews, OD
• Robert Mark Andrues, SUBSTANCE USE DISORD

• Physical Therapist in Victorville, CA
• Providers in Victorville, 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 2, 2011; 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.