Individual provider Active NPI

Joel W Anderson, DPT,MOMT,PHD,FAAOMPT

  • Physical Therapist
  • Arlington, WA
National Provider Identifier
1649310293
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007832 Issued in WA
Practice address
24719 59TH Ave NE
Arlington, WA 98223-9782
Phone
(425) 760-8034
Fax
(425) 962-9449
NPI assigned
Feb 6, 2007
Last updated
May 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00007832 WA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101229000680 WA Practitioner - Physical Therapist in Private Practice 6204049786 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington, WA

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PT00007832WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Physical Therapy Physical Therapist PastSince Jul 8, 2024 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 2

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.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1649310293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24719 59TH AVE NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982239782",
            "telephone_number": "360-588-4145",
            "fax_number": "425-962-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24719 59TH AVE NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982239782",
            "telephone_number": "425-760-8034",
            "fax_number": "425-962-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOEL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DPT,MOMT,PHD,FAAOMPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.