Individual provider Active NPI

Faith Angeli Anderson, PT

  • Physical Therapist
  • Raymondville, TX
National Provider Identifier
1831108448
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1085371 Issued in TX
Practice address
100 N Hwy 77 Ste I
Raymondville, TX 78580-4010
Phone
(956) 689-5301
Fax
(956) 689-2004
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1085371 TX Primary

Addresses

Primary practice location

100 N Hwy 77 Ste I
Raymondville, TX 78580-4010

Mailing address

PO Box 92
Raymondville, TX 78580-0092
Phone (956) 689-5301

Other identifiers 1

IdentifierTypeStateIssuer
8T6371 BC/BSOtherTXPHYSICAL THERAPIST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927001424 TX Practitioner - Physical Therapist in Private Practice 6103849187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kids Skills LLCGroup PAC ID 3072894492, 2 clinicians

Practice addresses (Care Compare)

100 N US Hwy 77
Suite I
Raymondville, TX 78580-4010
Phone (956) 689-5301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1085371TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Skills LLC Physical Therapist CurrentSince Nov 11, 2023 Accepting new patients
Freedom Physical Therapy, LLC PastSince Nov 11, 2023 Accepting new patients

Locations

100 N Expy 77 Ste I
Raymondville, TX 78580

100 N US Highway 77
Ste I
Raymondville, TX 78580
Phone (956) 689-5301

Organizations & group practices 2

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831108448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785800092",
            "telephone_number": "956-689-5301",
            "fax_number": "956-689-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N HWY 77 STE I",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804010",
            "telephone_number": "956-689-5301",
            "fax_number": "956-689-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "FAITH",
        "middle_name": "ANGELI",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1085371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "8T6371 BC/BS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.