Individual provider Active NPI

Barbara Lynn Andersen, M.S., P.T.

  • Physical Therapist
  • Auburn, NY
National Provider Identifier
1649339805
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
020699-1 Issued in NY
Practice address
180 North St
Auburn, NY 13021-1811
Phone
(315) 255-3623
NPI assigned
Dec 6, 2006
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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 020699-1 NY Primary

Addresses

Primary practice location

180 North St
Auburn, NY 13021-1811

Mailing address

3334 Sunnyside Rd
Cato, NY 13033-9750
Phone (315) 247-5103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070719000371 NY Practitioner - Physical Therapist in Private Practice 2062513179 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
020699-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Sealy Counseling and Development Licensedclinicalservicespllc CurrentSince Jul 25, 2018 Accepting new patients
State of New York Comptrollers Office CurrentSince Feb 12, 2026 Accepting new patients

Locations

4207 State Highway 220
Oxford, NY 13830
Phone (607) 843-3100

4334 County Road 32
Oxford, NY 13830

115 Fall St
Seneca Falls, NY 13148
Phone (315) 515-5183

Organizations & group practices 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1649339805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 SUNNYSIDE RD",
            "city": "CATO",
            "state": "NY",
            "postal_code": "130339750",
            "telephone_number": "315-247-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211811",
            "telephone_number": "315-255-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "BARBARA",
        "middle_name": "LYNN",
        "credential": "M.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020699-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.