Jami Temple Anderson, PT, DPT, AT, A.T.,C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015752 Issued in MI

Practice address

854 Washington Ave Ste 200
Holland, MI 49423-7143

Phone

(616) 392-9430

Fax

(616) 392-5257

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jami.anderson.p4@direct.athleticoltd.nextgenshare.com

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1871618017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 WASHINGTON AVE STE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237143",
            "telephone_number": "810-577-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 WASHINGTON AVE STE 200",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237143",
            "telephone_number": "616-392-9430",
            "fax_number": "616-392-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMI",
        "middle_name": "TEMPLE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT, AT, A.T.,C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000685",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahyana Jade Anderson
• Christopher David Anderson
• Connie M Anderson, PA-C
• Ellen Anderson
• Jacqueline J Anderson, DDS
• Jeffrey Thomas Anderson
• Linda R Anderson, MS PT
• Matthew Anderson, RPH
• Molly Hunter Anderson
• Rebecca Naomi Anderson

• Physical Therapist in Holland, MI
• Providers in Holland, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.