Active NPI
Peter Anderson, PT, DPT
- Physical Therapist
- Carson City, NV
National Provider Identifier
1861883530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1365 Medical Pkwy
Carson City, NV 89703-4653 - Phone
- (775) 786-3040
- Fax
- (775) 788-5254
- NPI assigned
- Feb 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1365 Medical Pkwy
Carson City, NV 89703-4653
Mailing address
555 N Arlington Ave
Reno, NV 89503-4723
Phone (775) 786-3040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100561002 | Medicaid | NV | |
| 13850106 | Other | NV | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | panderson170031@Direct.renown.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Medical Pkwy
Carson City, NV 89703-4653
Phone (775) 786-3040
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3359 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reno Orthopaedic Clinic, LTD | Physical Therapist | Current | Accepting new patients |
| Reno Orthopaedic Clinic, LTD | Physical Therapist | Current | Accepting new patients |
| Reno Orthopaedic Clinic, LTD | Physical Therapist | Current | Accepting new patients |
Locations
1365 Medical Pkwy
Carson City, NV 89703
555 N Arlington Ave
Reno, NV 89503
Interoperability endpoints
- panderson170031@direct.renown.org
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Reno, NV
- NPI 1245228972
Physical Therapist
-
- Orthopaedic Surgery Physician
- Reno, NV
- NPI 1033651443
Physical Therapist
-
- Orthopaedic Surgery Physician
- Fernley, NV
- NPI 1619839727
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1861883530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N ARLINGTON AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895034723",
"telephone_number": "775-786-3040",
"fax_number": "775-786-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 MEDICAL PKWY",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897034653",
"telephone_number": "775-786-3040",
"fax_number": "775-788-5254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "PETER",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-16",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100561002",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13850106",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "panderson170031@Direct.renown.org",
"affiliation": "N",
"address_1": "1365 Medical Pkwy",
"city": "Carson City",
"state": "NV",
"country_code": "US",
"postal_code": "897034653",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.