Active NPI
Angela C. Anderson, PHYSICAL THERAPY
- Pediatric Physical Therapist
- Sugar Land, TX
National Provider Identifier
1598878639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1120988
- Practice address
- 2315 River Lodge LN
Sugar Land, TX 77479-8984 - Phone
- (281) 342-2297
- Fax
- (281) 344-8926
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1120988 | TX | Primary |
Addresses
Primary practice location
2315 River Lodge LN
Sugar Land, TX 77479-8984
Mailing address
2315 River Lodge Lane
Sugar Land, TX 77479
Phone (281) 342-2297
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1120988 | TX | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Pediatric Physical Therapy LLC | Pediatrics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Sugar Land, TX
- NPI 1346572971
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266019200000",
"number": "1598878639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 RIVER LODGE LANE",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77479",
"telephone_number": "281-342-2297",
"fax_number": "281-344-8926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 RIVER LODGE LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774798984",
"telephone_number": "281-342-2297",
"fax_number": "281-344-8926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ANGELA",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2010-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1120988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.