Nancy Anderson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0873 Issued in AZ

Practice address

101 Civic Center LN
Lake Havasu City, AZ 86403-5607

Phone

(928) 453-0411

NPI assigned

Feb 2, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912045667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 EAGLE DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864068161",
            "telephone_number": "928-855-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CIVIC CENTER LN",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035607",
            "telephone_number": "928-453-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NANCY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "0873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heath R Alvidrez, D.C.
• Anasazi Health Care, Inc. (Lake Hills Inn)
• Ramesh Anche
• Belinda Gail Anders, MA
• Anderson Orthopedics & Sports Medicine
• Steven Gregory Anderson, DO
• William Goin Anderson, DO
• Christine Andreozzi, LPN LICENSE NURSE
• Annual Wellness Centers LLC
• Apex Diagnostic Services, Inc.

• Physical Therapist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.