Trevor Scott Anderson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008684 Issued in WA

Practice address

512 N Young St Ste C
Kennewick, WA 99336-7839

Phone

(509) 736-2225

Fax

(509) 736-3366

NPI assigned

Oct 19, 2006

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Physical Therapy LLCGroup PAC ID 4981747219, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Anderson Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Kennewick, WA
  • NPI 1881921054
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1689756769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012709",
            "telephone_number": "509-736-2225",
            "fax_number": "509-736-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N YOUNG ST STE C",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367839",
            "telephone_number": "509-736-2225",
            "fax_number": "509-736-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3603 W Court St",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993012709",
            "country_code": "US",
            "telephone_number": "509-412-1086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TREVOR",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8333148",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loren P Anderson, D.D.S.
• Lori Lynn Anderson
• McKenzie Anderson
• Robert Dana Anderson, DC
• Sari Elaine Anderson, B.A.
• Yesenia Jiniol Andrade Mendoza, CARE COORDINATOR
• Gerardo Andrade
• Cecilia Jannet Andres
• Judith Ann Andrews
• Eilee Andujo

• Physical Therapist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.