Individual provider Active NPI

Ora Lee Anderson, L.P.T

  • Physical Therapist
  • Yuma, AZ
National Provider Identifier
1669645487
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13967 Issued in FL
Practice address
2851 S Avenue B # 2402
Yuma, AZ 85364-7726
Phone
(928) 782-5588
NPI assigned
Apr 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 13967 FL Primary

Addresses

Primary practice location

2851 S Avenue B # 2402
Yuma, AZ 85364-7726

Mailing address

2045 S 14TH Ave Unit 47
Yuma, AZ 85364-6287
Phone (727) 488-7344

Other identifiers 2

IdentifierTypeStateIssuer
LPT-010906OtherAZPHYSICAL THERAPY
PT13967OtherFLSTATE OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13967FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Rehabilitation Network Inc Physical Therapist CurrentSince Aug 17, 2019 Accepting new patients
Quality Rehabilitation Network Inc Physical Therapist PastSince Jun 11, 2023 Accepting new patients

Locations

11509 S Fortuna Rd
Yuma, AZ 85367
Phone (928) 342-8767

1951 W 25th St
Ste C
Yuma, AZ 85364
Phone (928) 276-4249

11509 S Fortuna Rd
Ste 2
Yuma, AZ 85367
Phone (631) 335-1459

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1669645487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S 14TH AVE UNIT 47",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646287",
            "telephone_number": "727-488-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B # 2402",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-782-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ORA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-13",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "13967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "LPT-010906",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA",
            "identifier": "PT13967",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.