Shenoa Lee Anderson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA21510 Issued in FL

Practice address

2829 Parrish Cemetery Rd
Jacksonville, FL 32221-2052

Phone

(904) 219-7127

NPI assigned

Feb 4, 2013

Last updated

Feb 4, 2013By the provider in NPPES

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

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": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1942549407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 PARRISH CEMETERY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322212052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 PARRISH CEMETERY RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322212052",
            "telephone_number": "904-219-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SHENOA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA21510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Anderson, HAS
• Samantha Anderson
• Sara Rebecca Anderson, LMHC
• Shaquila Anderson
• Sheena S Anderson, D.O.
• Stephanie Anderson, DC
• Suzanne Anderson, LMFT
• Taconia D Anderson, RN
• Takayah Joy Michelle Anderson
• Tanisha Anderson, DNP, APRN, FNP-C

• Physical Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.