Individual provider Active NPI

James H Anderson Jr., PT

  • Physical Therapist
  • Leesville, LA
National Provider Identifier
1891754610
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00223 Issued in LA
Practice address
301 W Fertitta Blvd Ste 4
Leesville, LA 71446-4665
Phone
(337) 238-9931
Fax
(337) 239-0066
NPI assigned
Mar 21, 2006
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00223 LA Primary

Addresses

Primary practice location

301 W Fertitta Blvd Ste 4
Leesville, LA 71446-4665

Mailing address

301 W Fertitta Blvd Ste 4
Leesville, LA 71446-4665
Phone (337) 238-9931

Other identifiers 1

IdentifierTypeStateIssuer
PT00223OtherLAPHYSICAL THERAPIST NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00223LAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1891754610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W FERTITTA BLVD STE 4",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464665",
            "telephone_number": "337-238-9931",
            "fax_number": "337-239-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W FERTITTA BLVD STE 4",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464665",
            "telephone_number": "337-238-9931",
            "fax_number": "337-239-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMES",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT00223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST NUMBER",
            "identifier": "PT00223",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.