NPI 1023279080 · live from the CMS NPI Registry
Kenneth M Anderson, R.P.T.
Physical Therapist in Washington, DC. National Provider Identifier 1023279080, active.
NPI record
| NPI | 1023279080 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 823 Kennedy St Ne, Washington, DC 20011 |
| Practice phone | 860-447-0417 |
| Enumerated | June 23, 2008 |
| Last updated | August 8, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Orthopedic | 2251X0800X | 008333 (CT) |
| Physical Therapist primary | 225100000X | 25392 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.