Katlin Rene Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5967 Issued in OR

Practice address

1957 Thompson Rd Ste a
Coos Bay, OR 97420-2040

Phone

(541) 266-7050

Fax

(541) 266-0180

NPI assigned

Nov 13, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Flowing Function LLC

  • Physical Therapist
  • Coos Bay, OR
  • NPI 1568392736
  NPD
• Starting Line Physical Therapy

  • Physical Therapist
  • Coos Bay, OR
  • NPI 1245789130
  NPD

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1891397865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 THOMPSON RD STE A",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202040",
            "telephone_number": "541-266-7050",
            "fax_number": "541-266-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 THOMPSON RD STE A",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202040",
            "telephone_number": "541-266-7050",
            "fax_number": "541-266-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATLIN",
        "middle_name": "RENE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "webpt",
            "affiliation": "N",
            "endpointDescription": "EMR Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1957 Thompson Rd Ste A",
            "city": "Coos Bay",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974202040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Lynne Amonoo, NP, CNM
• Amy Anderson, RDH
• David Craig Anderson
• Jonathan Edward Anderson, M.D.
• Judith Lawrence Anderson, MA, LPC, ATR
• Malias Andrews
• Regina M Ardiana, FNPC
• Allison Arends, NP
• Dustin Armstrong
• Tony Kenneth Arriola, RPH

• Physical Therapist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.