Angela Babb Anderson, PT
Individual provider Active NPI Physical Therapist · Pocatello, ID
NPI 1902370141 · NPPES record last updated Jan 21, 2019
Key facts
- NPI
- 1902370141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT1473 (ID)
- Practice address
- 527 Memorial Dr
Pocatello, ID 83201-4063 - Phone
- (208) 478-3333
- Fax
- (208) 478-3329
- NPI assigned
- Jan 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1473 | ID | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1473 | ID | Yes |
Addresses
Primary practice location
527 Memorial Dr
Pocatello, ID 83201-4063
Mailing address
527 Memorial Dr
Pocatello, ID 83201-4063
Phone (208) 478-3333
Other providers in Pocatello, ID
- Anchor and Soul Counseling LLC
- Krista Jean Andersen-Harris
- Douglas Ken Andersen
- Joseph Soren Andersen
- Matthew Colt Andersen
- Brice Anderson
- Bryan Wayne Anderson
- Danielle Lynn Anderson
- Garret Anderson
- Gary Steven Anderson
All providers in Pocatello, ID · Physical Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.