Letecia Anderson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1253 Issued in NV

Practice address

6630 S McCarran Blvd
Suite A4
Reno, NV 89509-6158

Phone

(775) 828-2866

Fax

(775) 828-2891

NPI assigned

Apr 25, 2006

Last updated

Jul 20, 2010By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lcanderson LLC

  dba Sierra Spine and Joint Physical Therapy

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1437780517

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Sierra Regional Spine Institute

  • Orthopaedic Surgery Physician
  • Reno, NV
  • NPI 1104802297
  Medicare reassignment NPD

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1902862378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD",
            "address_2": "SUITE A4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096158",
            "telephone_number": "775-828-2880",
            "fax_number": "775-828-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD",
            "address_2": "SUITE A4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096158",
            "telephone_number": "775-828-2866",
            "fax_number": "775-828-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LETECIA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11426111",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500695",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill M Anderson, MFT-I
• Jillian Anderson
• Jocelyn Ricketts Anderson
• Keyahnah Anderson, MA
• Lanette Anderson
• Lynee Anderson, NBC-HIS
• Lynice Anderson, RD, CDE
• Lynn Anderson, APN
• Michael Timothy Anderson
• Milan John Anderson, D.C,BSC

• Physical Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.