NPIMap

Organization Active NPI

Ross M. Anderson, Anchor Physical Therapy

Doing business as Anchor Physical Therapy

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1598976243
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007523 Issued in WA
Legal business name
ROSS M. ANDERSON, ANCHOR PHYSICAL THERAPY
Doing business as
Anchor Physical Therapy
Practice address
1407 E 72ND St
Suite A100
Tacoma, WA 98404-5906
Phone
(253) 474-7474
NPI assigned
May 24, 2007
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ross M. AndersonNPI 1588626931
Title
Owner
Phone
(253) 514-8247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00007523 WA Primary

Addresses

Primary practice location

1407 E 72ND St
Suite A100
Tacoma, WA 98404-5906

Mailing address

1407 E 72ND St
Suite A100
Tacoma, WA 98404-5906
Phone (253) 474-7474

Other identifiers 2

IdentifierTypeStateIssuer
241794OtherWAL&I
7141294MedicaidWA

Other names 1

  • Anchor Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080829000400 WA Part B Supplier - Clinic/Group Practice 2062588924 Receives reassigned benefits from 21 practitioners
Practice locations: Lakewood, WA; Tacoma, WA

National Provider Directory

National Provider Directory

Locations

5815 Lakewood Towne Center Blvd SW
Ste G1
Lakewood, WA 98499
Phone (253) 235-3971

6030 Main St SW
Ste D
Lakewood, WA 98499
Phone (253) 347-4747

1407 E 72nd St
Tacoma, WA 98404
Phone (253) 474-7474

1407 E 72nd St
Ste A100
Tacoma, WA 98404
Phone (253) 474-7474

1415 E 72nd St
Ste C
Tacoma, WA 98404
Phone (253) 341-8562

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1598976243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 E 72ND ST",
            "address_2": "SUITE A100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984045906",
            "telephone_number": "253-474-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 E 72ND ST",
            "address_2": "SUITE A100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984045906",
            "telephone_number": "253-474-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS M. ANDERSON, ANCHOR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-514-8247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "241794",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7141294",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.