Individual provider Active NPI

Angel Maria Anderson, DPT

  • Physical Therapist
  • Rochester, WA
National Provider Identifier
1811853658
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT70057636 Issued in WA
Practice address
19548 Vision Dr SW Ste C
Rochester, WA 98579-8964
Phone
(360) 669-0564
Fax
(360) 800-5277
NPI assigned
Dec 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT70057636 WA Primary

Addresses

Primary practice location

19548 Vision Dr SW Ste C
Rochester, WA 98579-8964

Mailing address

19548 Vision Dr SW Ste C
Rochester, WA 98579-8964
Phone (360) 669-0564

Other names 1

  • Angel Lomeli Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1817 S Market Blvd
Suite C
Chehalis, WA 98532-4100

4902 101St LN SW
Olympia, WA 98512-7521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT70057636WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centralia Physical Therapy Inc PS Physical Therapist CurrentSince Dec 24, 2025 Accepting new patients

Locations

1118 View Ave
Centralia, WA 98531
Phone (360) 736-5273

19548 Vision Dr SW
Ste C
Rochester, WA 98579
Phone (360) 669-0564

4833 Tumwater Valley Dr SE
Ste 150
Tumwater, WA 98501
Phone (360) 493-4160

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1811853658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19548 VISION DR SW STE C",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985798964",
            "telephone_number": "360-669-0564",
            "fax_number": "360-800-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19548 VISION DR SW STE C",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985798964",
            "telephone_number": "360-669-0564",
            "fax_number": "360-800-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANGEL",
        "middle_name": "MARIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT70057636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "LOMELI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.