Valerie Kim Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010113 Issued in WA

Practice address

12012 E Mission Ave
Spokane Valley, WA 99206-4887

Phone

(509) 413-1630

Fax

(509) 413-1673

NPI assigned

Jul 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 1

Addresses

Other names 1

• Mrs. Valerie Kim Olson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1902006505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 N WILLAMETTE RD",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990165060",
            "telephone_number": "509-389-1272",
            "fax_number": "509-413-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064887",
            "telephone_number": "509-413-1630",
            "fax_number": "509-413-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "VALERIE",
        "middle_name": "KIM",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "OLSON",
            "middle_name": "KIM",
            "prefix": "MRS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Alycia Anderson, LMT
• Jamie Anderson
• Kaylee Anne Anderson
• Kerry Deann Anderson, LMHC
• Shane S Anderson, RPH
• Haley Anderton
• Michael A Andrade, CRNA
• Jared Merlin Andrews, MD
• Kris Andrews, RN
• Maurita Florence Andrews, MA, CCC-SLP

• All providers in Spokane Valley, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.