Stephanie Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016066 Issued in MI

Practice address

1940 Griggs St SE
Grand Rapids, MI 49506-4664

Phone

(765) 661-6755

NPI assigned

Aug 17, 2016

Last updated

Aug 17, 2016By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Locations

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

• Mary Free Bed Rehabilitation Hospital

  dba Mary Free Bed Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
  • NPI 1053641589
  NPD

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1609321876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 GRIGGS ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 GRIGGS ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064664",
            "telephone_number": "765-661-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Joel Anderson
• Paula Anderson
• Richard Gregory Anderson, LMSW
• Ricky Anderson
• Sarah R Anderson, OTR
• Tess Elizabeth Anderson
• Theodore Mann Anderson, PA-C
• Trechaun Anjale Anderson
• Weston Mark Anderson, DO
• Lisa Anne Andersson-Zetye, MD

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.