Cherie J Anderson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-5854 Issued in ID

Practice address

9515 E 51St St
Tulsa, OK 74145-9053

Phone

(918) 622-7488

NPI assigned

Jul 20, 2018

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pinnacle Physical Therapy and Sports Medicine, Inc

  • Physical Therapist
  • Post Falls, ID
  • NPI 1447383625
  NPD (past)
• Summit Rehabilitation Associates, PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1467571513
  NPD (past)

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1922585173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459053",
            "telephone_number": "918-622-7488",
            "fax_number": "208-777-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 E 51ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459053",
            "telephone_number": "918-622-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHERIE",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-5854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHP BOARD OF OCCUPATIONAL LICENCE",
            "identifier": "PTA-5854",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Anderson
• Cayla Allison Anderson, MS
• Chanika Nicole Anderson
• Charles Clayton Anderson, M.D.
• Chelsea Anderson, PH.D., CCC-SLP
• Chrissy R Anderson, MSCCC/SLP
• Clara Anderson
• Cooper Anderson
• Craig Allan Anderson, D.O.
• Deborah Diane Anderson

• Physical Therapy Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.