ETHAN ANDERSON (NPI# 1063966554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063966554 |
| Entity Type | Individual |
| Full Name | ETHAN ANDERSON |
| Credential | DPT |
| Practice Address |
7707 W Deer Valley Rd Suite 100 Peoria AZ 85382-2101 |
| Mailing Address |
15410 S Mountain Pkwy Suite 112 Phoenix AZ 85044-6691 |
| Practice Telephone | 6233769100 |
| Practice Fax Number | 6233769141 |
| Mailing Telephone | 4807061161 |
| Mailing Fax Number | 4807067997 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 12383 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455732 | Ethan Scott Anderson | Student in an Organized Health Care Education/Training Program | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2020-04-06 |
| 1508052655 | Ethan Aaron Anderson | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2007-09-22 |
| Street Address |
7707 W DEER VALLEY RD SUITE 100 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398119 | Clinton Borman | Physical Therapist | 7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 | 2005-07-01 |
| 1235509001 | Adam David Herrick | Physician Assistant | 7707 W Deer Valley Rd, 115, Peoria, AZ 85382-2101 | 2015-10-05 |
| 1184041956 | Scott Sassaman | Physical Therapist | 7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 | 2014-03-18 |
| 1477999449 | Logan M Moore | Physical Therapist | 7707 W Deer Valley Rd, Ste: 100, Peoria, AZ 85382-2101 | 2013-05-17 |
| 1194081034 | Nickolas B Griffith | Physical Therapist | 7707 W Deer Valley Rd, Ste: 105, Peoria, AZ 85382-2101 | 2012-04-04 |
| 1639443757 | Vital4men LLC | General Practice | 7707 W Deer Valley Rd, 115, Peoria, AZ 85382-2101 | 2012-03-07 |
| 1972837003 | Monica Greenwald Dohrman | Nurse Practitioner | 7707 W Deer Valley Rd, Peoria, AZ 85382-2101 | 2009-09-22 |
| 1982834065 | Matthew Dohrman | Physician Assistant | 7707 W Deer Valley Rd, 115, Peoria, AZ 85382 | 2009-07-22 |
| 1669527024 | Jamie R Miller | Physical Therapist | 7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 | 2007-01-24 |
| 1699832808 | Janelle Marie Howard | Physical Therapy Assistant | 7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743642 | Peter D Chong IIi | Physical Therapist | 1201 W Northmoor Rd, Peoria, IL 61614-3463 | 2020-09-02 |
| 1588277297 | Valerie Jordan Stone | Physical Therapist | 25101 N Lake Pleasant Pkwy # B-1340, Peoria, AZ 85383-1386 | 2020-08-24 |
| 1336758218 | Jacob Raecker | Physical Therapist | 13127 N 91st Ln, Peoria, AZ 85381-8223 | 2020-07-28 |
| 1619586799 | Elizabeth Nicole Murzyn | Physical Therapist | 18441 N 87th Ave, Peoria, AZ 85382-8532 | 2020-07-24 |
| 1396371241 | Susan M Baker | Physical Therapist | 22489 N 102nd Ln, Peoria, AZ 85383-2661 | 2020-03-22 |
| 1366081002 | Martha Sebolt | Physical Therapist | 1230 E Forrest Hill Ave, Peoria, IL 61603-1530 | 2019-12-28 |
| 1295381275 | Kayla Jean Bumpus | Physical Therapist | 411 Hamilton Blvd Ste 1908, Peoria, IL 61602-1146 | 2019-08-14 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1598230948 | Brianna Fullenkamp | Physical Therapist | 6809 N Knoxville Ave, Peoria, IL 61614-2812 | 2018-10-11 |
| 1245718899 | Lindsey Marie Hoover | Physical Therapist | 9139 W Thunderbird Rd Ste 225, Peoria, AZ 85381-4913 | 2018-08-04 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.