Todd Ritchie Anderson, DPT, MPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1288 Issued in ID

Practice address

180 N Broadway
Blackfoot, ID 83221-2203

Phone

(208) 785-0628

Fax

(208) 785-8667

NPI assigned

Jul 20, 2007

Last updated

Jul 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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

• Tap Therapies LLC

  dba Eastern Idaho Physical Therapy

  • Physical Therapist
  • Blackfoot, ID
  • NPI 1679810832
  Authorized official Same address or phone
• Rocky Mountain Physical Therapy PLLC

  • Physical Therapist
  • Blackfoot, ID
  • NPI 1538172648
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469836800000",
    "number": "1942400718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N BROADWAY ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212203",
            "telephone_number": "208-785-0628",
            "fax_number": "208-785-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N BROADWAY",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212203",
            "telephone_number": "208-785-0628",
            "fax_number": "208-785-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TODD",
        "middle_name": "RITCHIE",
        "credential": "DPT, MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2016-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1288",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-1288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Howard Allen, MD
• Hugo Alexis Alvarado, PHARMD
• Lauren Constance Anderson-Carriere, M.D.
• Brittany Jean Anderson
• Cathy Anderson, LCSW
• Guy William Andrews, PHARMD
• Donna Eileen Araki, PHARM D
• Damon Taylor Armstrong, D.D.S.
• Candiss L Aschenbrenner, APRN-CNP
• Samantha Paige Averett, LMSW

• Physical Therapist in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2016; 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.