Robert O Anderson, PT
Individual provider Active NPI Physical Therapist · Moline, IL
NPI 1689631129 · NPPES record last updated Apr 11, 2012
Key facts
- NPI
- 1689631129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070-006898 (IL)
- Practice address
- 520 Valley View Dr Ste 200
Moline, IL 61265-6152 - Phone
- (309) 797-0866
- Fax
- (309) 797-0872
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rock Valley Physical Therapy Center
Practice addresses (Care Compare)
850 43Rd Ave
Suite 300
Moline, IL 61265-8401
Phone (309) 743-0300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100820000775 | IL | Practitioner - Physical Therapist in Private Practice | 0143354548 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-006898 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ora Orthopedics PC | Current |
Accepting new patients | |
| Rock Valley Physical Therapy Center | Physical Therapist | Current |
Accepting new patients |
| Rock Valley Physical Therapy Center | Physical Therapist | Current |
Accepting new patients |
| Ora Orthopedics, PC | Current |
Accepting new patients |
Locations
2300 53rd Ave
Ste LL04
Bettendorf, IA 52722
3800 Avenue of the Cities
Ste 107
Moline, IL 61265
Phone (309) 743-0106
520 Valley View Dr
Moline, IL 61265
Phone (309) 762-1952
520 Valley View Dr
Ste 200
Moline, IL 61265
Phone (309) 797-0866
510 Valley View Dr
Moline, IL 61265
Phone (309) 762-3621
850 43rd Ave
Ste 300
Moline, IL 61265
Phone (309) 743-0300
850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070
520 Valley View Dr
Ste 100
Moline, IL 61265
Phone (309) 762-3621
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-006898 | IL | Yes |
Addresses
Primary practice location
520 Valley View Dr Ste 200
Moline, IL 61265-6152
Mailing address
850 43Rd Ave Ste 100
Moline, IL 61265-8401
Phone (309) 743-2070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070-006898 | Other | IL | PT LICENSE NUMBER |
Other providers in Moline, IL
- Jane Anderson
- Jennifer L Anderson
- Kristin Anderson
- Kristina Love Anderson
- Richard John Anderson
- Vanessa Adele Anderson
- Blanca E Andon
- Kenneth William Andre
- Andrew Abatiell MD PLLC
- Jami Lynn Andrews
All providers in Moline, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2012. 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.