Eldridge Anderson III, PTA

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

2150658 Issued in TX

Practice address

9522 N Sam Houston Pkwy E Ste 2330
Humble, TX 77396-4695

Phone

(713) 814-2510

Fax

(713) 704-3890

NPI assigned

Nov 18, 2022

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1861101776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 N SAM HOUSTON PKWY E STE 2330",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964695",
            "telephone_number": "713-814-2510",
            "fax_number": "713-704-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 N SAM HOUSTON PKWY E STE 2330",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964695",
            "telephone_number": "713-814-2510",
            "fax_number": "713-704-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ELDRIDGE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "2150658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Najeeb Amirsheriff
• Anderkee
• Alyssa Michelle Anderson
• Ariel R Anderson
• Christopher David Anderson, D.C.
• Judith Lynne Anderson, M.A., LPC-I
• Tamia Anderson
• Diana Maleni Andrade
• Anthony Andrews, MED
• Brian Keith Andrews Jr.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Humble, TX
• Providers in Humble, TX by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.