Individual provider Active NPI

Joshua Chase Anderson, PTA/L

  • Physical Therapy Assistant
  • Burien, WA
National Provider Identifier
1881029601
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P1 60064421 Issued in WA
Practice address
15623 1St Ave S Ste C
Burien, WA 98148-1292
Phone
(206) 444-6320
Fax
(206) 444-3602
NPI assigned
Sep 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P1 60064421 WA Primary

Addresses

Primary practice location

15623 1St Ave S Ste C
Burien, WA 98148-1292

Mailing address

8714 E Meadow Lake Dr
Snohomish, WA 98290-7201
Phone (425) 232-9065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P1 60064421WAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy Inc PastSince Jan 1, 2006 Accepting new patients

Organizations & group practices 1

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": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1881029601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 E MEADOW LAKE DR",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982907201",
            "telephone_number": "425-232-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15623 1ST AVE S STE C",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481292",
            "telephone_number": "206-444-6320",
            "fax_number": "206-444-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOSHUA",
        "middle_name": "CHASE",
        "credential": "PTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60064421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.