Shawna Lynn Anderson, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.16506 Issued in CO

Practice address

1318 S College Ave
Unit 5
Fort Collins, CO 80524-4100

Phone

(970) 541-9050

Fax

(866) 488-6550

NPI assigned

Nov 2, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Physical Therapy, IncGroup PAC ID 6901947647, 22 clinicians

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 and National Provider Directory roles.

• Rocky Mountain Physical Therapy, Inc

  • Physical Therapist
  • Windsor, CO
  • NPI 1790013001

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Anderson Physical Therapy Associates, Inc.

  • Physical Therapist
  • Braselton, GA
  • NPI 1396004883

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1922308238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 S COLLEGE AVE",
            "address_2": "UNIT 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244100",
            "telephone_number": "970-541-9050",
            "fax_number": "866-488-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 S COLLEGE AVE",
            "address_2": "UNIT 5",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244100",
            "telephone_number": "970-541-9050",
            "fax_number": "866-488-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHAWNA",
        "middle_name": "LYNN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.16506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Jardina Anderson, APN
• Olivia R Anderson, LSW, SWC
• Robert Scott Anderson, MD
• Samantha Anderson
• Sharon Anderson, PH.D.
• Spencer Anderson, MSW, LCSW
• Stephen Craig Anderson, R.N.
• Susan C Anderson
• Tami Annette Anderson, M.S.
• Thomas Michael Anderson, DO

• Physical Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.