Joel W Anderson, DPT,MOMT,PHD,FAAOMPT
Individual provider Active NPI Physical Therapist · Arlington, WA
NPI 1649310293 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1649310293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT00007832 (WA)
- Practice address
- 24719 59TH Ave NE
Arlington, WA 98223-9782 - Phone
- (425) 760-8034
- Fax
- (425) 962-9449
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
24719 59TH Ave NE
Arlington, WA 98223-9782
Phone (425) 760-8034
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101229000680 | WA | Practitioner - Physical Therapist in Private Practice | 6204049786 |
Receives reassigned benefits from 2 practitioners Practice locations: Arlington, WA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Physical Therapy | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00007832 | WA | Yes |
Addresses
Primary practice location
24719 59TH Ave NE
Arlington, WA 98223-9782
Mailing address
24719 59TH Ave NE
Arlington, WA 98223-9782
Phone (360) 588-4145
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0412622 | Other | WA | STATE OF WA LABOR AND INDUSTRIES |
| 8351199 | Medicaid | WA |
Other providers in Arlington, WA
- Elaine C Andersen
- Anderson Physical Therapy
- Carly Anderson
- Doris Evelyn Anderson
- Jared M Anderson
- Matthew Aaron Anderson
- Jennifer Lynn Anspach
- Lizette Jamora Antig
- Arlington Family Chiropractic PLLC
- Arlington Massage Therapy and Wellness, PLLC
All providers in Arlington, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.