Organization Active NPI

Anders and Associates Physical Therapy, LLC

  • Physical Therapist
  • North Las Vegas, NV
National Provider Identifier
1801309166
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2583 Issued in NV
Legal business name
ANDERS AND ASSOCIATES PHYSICAL THERAPY, LLC
Practice address
2690 W Deer Springs Way Ste 104
North Las Vegas, NV 89084-5822
Phone
(170) 265-7219
NPI assigned
Nov 8, 2017
Last updated
Nov 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Authorized official

Name
Joseph AndersNPI 1790072866
Title
President/ Physical Therapist
Phone
(702) 860-3876

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2583 NV Primary

Addresses

Primary practice location

2690 W Deer Springs Way Ste 104
North Las Vegas, NV 89084-5822

Mailing address

8901 Lauderhill St
Las Vegas, NV 89131-1738
Phone (702) 860-3876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171211001682 NV Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0840558383 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV; North Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6620 Sky Pointe Dr
Ste 130
Las Vegas, NV 89131
Phone (702) 448-5155

2690 W Deer Springs Way
Ste 104
North Las Vegas, NV 89084
Phone (702) 448-5155

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1801309166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 LAUDERHILL ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311738",
            "telephone_number": "702-860-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 W DEER SPRINGS WAY STE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845822",
            "telephone_number": "170-265-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERS AND ASSOCIATES PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "702-860-3876"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.