Lara Anderson

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

297482 Issued in CA

Practice address

2445 Truxtun Rd Ste 205
San Diego, CA 92106-6154

Phone

(619) 633-2119

NPI assigned

Feb 21, 2019

Last updated

Aug 8, 2022By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1942767439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 HAWK ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031318",
            "telephone_number": "757-676-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 TRUXTUN RD STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066154",
            "telephone_number": "619-633-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12250 El Camino Real Ste 190",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921302298",
            "country_code": "US",
            "telephone_number": "858-793-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "297482",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "27321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Anderson, PH.D.
• Kendell Renee Anderson, D.O.
• Kenneth L. Anderson III, D.O.
• Kochia Anderson
• Kristine Noelle Anderson, MSW
• Lara Nicole Anderson
• Lauren Ann Anderson, M.D.
• Leslie Anderson, MD M.ED.
• Lindsay Anderson
• Lindsey Lynn Anderson, PA-C

• Orthopedic Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthopedic Physical Therapist in California

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