Haley Renee Anderson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300235 Issued in CA

Practice address

715 Maltman Dr
Grass Valley, CA 95945-5184

Phone

(530) 272-7306

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Body Logic Physical Therapy, P.C. 8 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Body Logic Physical Therapy, P.C.

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1285929141

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Seivert Physical Therapy PC

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1114000445
  NPD

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1851967772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16475 GEORGE WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959497333",
            "telephone_number": "916-220-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MALTMAN DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455184",
            "telephone_number": "530-272-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HALEY",
        "middle_name": "RENEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpine Allergy and Asthma Associates Inc.
• Mark Anthony Alvidrez
• Brianna Amaro
• David Ames
• Annette Anderson
• Heather Anderson
• Kathleen Patricia Anderson, MS, PSYCHOLOGY
• Andrew J Thomas MD Inc
• Dana C. Andrews, LMFT
• Michael D Andya, M.D.

• All providers in Grass Valley, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.