NPIMap

Organization Active NPI

Anderson Pediatric Physical Therapy, LLC

  • Physical Therapist
  • Rollinsford, NH
National Provider Identifier
1699199679
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1202 Issued in NH
Legal business name
ANDERSON PEDIATRIC PHYSICAL THERAPY, LLC
Practice address
431 Main Street
Rollinsford, NH 03869
Phone
(603) 305-1811
Fax
(603) 658-4542
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Ms. Patti-Jean Rawding-Anderson, MS PTNPI 1922142082
Title
Owner / Physical Therapist
Phone
(603) 305-1811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1202 NH Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4527 MA

Addresses

Primary practice location

431 Main Street
Rollinsford, NH 03869

Mailing address

PO Box 370
Rollinsford, NH 03869
Phone (603) 305-1811

Other identifiers 3

IdentifierTypeStateIssuer
781331OtherNHMVP
0803279Y0NH01OtherNHANTHEM BC / BS
3087347MedicaidNH

Other names 1

  • Patti-Jean Rawding-Anderson Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1699199679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "ROLLINSFORD",
            "state": "NH",
            "postal_code": "03869",
            "telephone_number": "603-305-1811",
            "fax_number": "603-658-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MAIN STREET",
            "city": "ROLLINSFORD",
            "state": "NH",
            "postal_code": "03869",
            "telephone_number": "603-305-1811",
            "fax_number": "603-658-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PEDIATRIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "RAWDING-ANDERSON",
        "authorized_official_first_name": "PATTI-JEAN",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "603-305-1811",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "1202",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "4527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "781331",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC / BS",
            "identifier": "0803279Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087347",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patti-Jean Rawding-Anderson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rollinsford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.