Donna J Anderson, PT

Key facts

NPI

1679790307

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

2561-024 (WI)

Practice address

2611 12TH St S
Wisconsin Rapids, WI 54494-6445

Phone

(715) 421-8855

Fax

(715) 421-2266

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679790307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 12TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946445",
            "telephone_number": "715-421-8855",
            "fax_number": "715-421-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 12TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946445",
            "telephone_number": "715-421-8855",
            "fax_number": "715-421-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DONNA",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2561-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40173900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

• Grace Alnes, PTA
• Alpine Home Medical LLC
• Randall John Ambrosius, MSW CADCIII LCSW
• Megan Amundson, DPT
• Bethany Lee Anderson
• Jaimie Jo Anderson
• Andrea M Bertotto, D.D.S., S.C.
• Steven C Andrews, MD
• Anesthesia Associates of Wisconsin Rapids, S.C.
• Appleton Medical LLC

All providers in Wisconsin Rapids, WI · Physical Therapist in Wisconsin