Nicole Anderson, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2013022080 Issued in MO

Practice address

5601 NE Antioch Rd
Ste 7
Gladstone, MO 64119-2300

Phone

(816) 452-4488

NPI assigned

Jul 3, 2013

Last updated

Jul 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Restore Muscle and Joint, LLC

  • Chiropractor
  • Gladstone, MO
  • NPI 1497995393

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1801236914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD",
            "address_2": "STE 7",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192300",
            "telephone_number": "816-452-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD",
            "address_2": "STE 7",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192300",
            "telephone_number": "816-452-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013022080",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephan Ahmad Ameryun, DDS
• Amity Mental Health
• Catherine Alpha Anderson, D.O.
• Lydia Housley Anderson
• Maureen F Anderson, ARNP
• Stuart P Anderson, O.D.
• Ankle and Foot Centers of Missouri P.C.
• Stephanie Henthorn Aponte, LPCC
• Douglas Wayne Arjes, DDS
• David Ash, M.D.

• Physical Therapist in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.