Kade Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-4936 Issued in ID

Practice address

1444 Falls Ave E
Twin Falls, ID 83301-3408

Phone

(208) 736-2574

Fax

(208) 736-2594

NPI assigned

Feb 9, 2017

Last updated

Aug 28, 2024By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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

• Rightmove Physical Therapy Services PLLC

  • Physical Therapist
  • Huntington, NY
  • NPI 1134981244

  ID

  Medicare reassignment NPD
• The Clinicians, LLC

  dba BeeperMD Primary Care

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1346669447

  Physical Therapist

  NPD
• Travel Doctor, PL

  dba BeeperMD Urgent Care

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1164842225
  NPD

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1942748934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 FALLS AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013408",
            "telephone_number": "208-736-2574",
            "fax_number": "208-736-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 FALLS AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013408",
            "telephone_number": "208-736-2574",
            "fax_number": "208-736-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KADE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41787",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "41787",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID STATE LICENSE",
            "identifier": "PT-4936",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madisen Andersen, RDH
• Julie Ann Anderson Miller, LMT
• Barbara Anderson, LMSW
• Douglas Anderson, COTA/L, CEAS
• Holly Anderson
• Kelly Curtis Anderson, D.O.
• Mark Anderson
• Shalyce Anderson
• Kennedy Anderton, DPT
• Toby L Anderton, M.D.

• Physical Therapist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.