Individual provider Active NPI

Heidi Lynne Anders, PT, DPT

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1992312086
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
298899 Issued in CA
Practice address
5805 W 8TH St Apt 205
Los Angeles, CA 90036-4576
Phone
(208) 596-0805
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 298899 CA Primary

Addresses

Primary practice location

5805 W 8TH St Apt 205
Los Angeles, CA 90036-4576

Mailing address

5805 W 8TH St Apt 205
Los Angeles, CA 90036-4576
Phone (208) 596-0805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220508000004 WA Practitioner - Physical Therapist in Private Practice 2062899321 Reassigns benefits to 1 organization
Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Associates IncGroup PAC ID 0042116279, 319 clinicians

Practice addresses (Care Compare)

5420 Barnes Ave NW
Seattle, WA 98107-3839
Phone (206) 789-7975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298899CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc CurrentSince Mar 1, 2022 Accepting new patients
Therapeutic Associates Inc CurrentSince Mar 1, 2022 Accepting new patients
Therapeutic Associates Inc Current Accepting new patients
Therapeutic Associates Inc Past Accepting new patients

Locations

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

1408 N Louisiana St
Ste 104A
Kennewick, WA 99336
Phone (509) 783-1962

17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924

509 Olive Way
Ste 1011
Seattle, WA 98101
Phone (206) 623-4570

4532 42nd Ave SW
Ste 101
Seattle, WA 98116
Phone (206) 932-8363

5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975

17700 SE Mill Plain Blvd
Ste 150
Vancouver, WA 98683
Phone (360) 514-9383

Interoperability endpoints

  • Direct secure messaging: heidi.anders.1@31414.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1992312086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 W 8TH ST APT 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364576",
            "telephone_number": "208-596-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 W 8TH ST APT 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364576",
            "telephone_number": "208-596-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "HEIDI",
        "middle_name": "LYNNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "298899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.