Brett Lawrence Anderson
Individual provider Active NPI Physical Therapist · Troy, MO
NPI 1811540461 · NPPES record last updated Jul 23, 2019
Key facts
- NPI
- 1811540461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2019018674 (MO)
- Practice address
- 148 Professional Pkwy
Troy, MO 63379-2823 - Phone
- (636) 356-1142
- Fax
- (636) 356-1442
- NPI assigned
- Jul 23, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Select Rehab St Louis LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2019018674 | MO | Yes |
Addresses
Primary practice location
148 Professional Pkwy
Troy, MO 63379-2823
Mailing address
148 Professional Pkwy
Troy, MO 63379-2823
Phone (636) 356-1142
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.