MR. PETER ALAN ANDERSON (NPI# 1659634053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659634053 |
| Entity Type | Individual |
| Full Name | MR. PETER ALAN ANDERSON |
| Credential | P.T./D.P.T. |
| Practice Address |
1711 Gold Dr S Suite 120 Fargo ND 58103-6416 |
| Mailing Address |
1711 Gold Dr. S. Suite 120 Fargo ND 58103-6416 |
| Practice Telephone | 7014519417 |
| Practice Fax Number | 7012980066 |
| Mailing Telephone | 7014519417 |
| Mailing Fax Number | 7012980066 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1625 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720367964 | Peter Holt Anderson | Marriage & Family Therapist | 6 Hampden St, Gloucester, MA 01930-3618 | 2011-08-05 |
| 1689827677 | Peter David Anderson | Pharmacist | 816 Willard St, Apt. 207, Quincy, MA 02169-7496 | 2008-11-04 |
| 1144337916 | Peter William Anderson | Chiropractor | 2720 Commercial St Se Ste 201, Salem, OR 97302-4586 | 2006-08-25 |
| 1558373407 | Peter Knox Anderson | Optometrist | 71 Crabtree Dr, Levittown, PA 19055-1617 | 2006-08-12 |
| 1811941198 | Peter G Anderson | Emergency Medicine | 17100 Euclid, Fountain Valley, CA 92708 | 2006-05-20 |
| 1396715231 | Peter Lloyd Anderson | Specialist | 1 Old Park Lane, Suite 2, New Milford, CT 06776 | 2006-01-24 |
| 1821076480 | Peter G Anderson | Dentist | 1083 E Maple Rd, Birmingham, MI 48009-6424 | 2006-01-04 |
| 1548245848 | Peter J Anderson | Orthopaedic Surgery | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2005-12-08 |
| 1891249132 | Peter Anderson | Social Worker | 328 Main St, Southbridge, MA 01550-3794 | 2016-08-03 |
| 1417335118 | Peter Anderson Jr. | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2015-05-13 |
| Street Address |
1711 GOLD DR S SUITE 120 |
| City | FARGO |
| State | ND |
| Zip Code | 58103-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205015633 | Jamie M Brown | Physician Assistant | 1711 Gold Dr S, Suite 170, Fargo, ND 58103-6416 | 2007-11-02 |
| 1972037935 | Professional Rehabilitation Center | Clinic/Center | 1711 Gold Dr S, Suite 120, Fargo, ND 58103-6416 | 2017-04-17 |
| 1255780250 | Alyssa Briggs | Occupational Therapist | 1711 Gold Dr S, Fargo, ND 58103-6416 | 2016-06-09 |
| 1134576127 | Hunter Stemmer | Physical Therapist | 1711 Gold Dr S, Suite 120, Fargo, ND 58103-6416 | 2016-05-19 |
| 1295076750 | Sarah J Wilson | Specialist | 1711 Gold Dr S, Suite 120, Fargo, ND 58103-6416 | 2013-03-08 |
| 1104108695 | Lillestol Research LLC | Nurse Practitioner | 1711 Gold Dr S, Suite 170, Fargo, ND 58103-6416 | 2011-09-12 |
| 1467688192 | Mitchell Wolden | Physical Therapist | 1711 Gold Dr S, Suite 120, Fargo, ND 58103-6416 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| 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 |
|---|---|---|---|---|
| 1275134538 | Elizabeth Emma Heintzman | Physical Therapist | 938 76th Ave S, Fargo, ND 58104-8029 | 2020-11-03 |
| 1477169068 | Meadowlark Home Therapy LLC | Physical Therapist | 3420 1st St N, Fargo, ND 58102-1107 | 2020-09-18 |
| 1992315543 | Connor Willis Teske | Physical Therapist | 3401 Bohnet Blvd N, Fargo, ND 58102-1248 | 2020-08-07 |
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1063938447 | Orthopedic & Sports Physical Therapy, Inc | Physical Therapist | 5475 51st Ave S, Fargo, ND 58104-6014 | 2017-08-17 |
| 1376091793 | Paul Mckay | Physical Therapist | 801 Broadway N., Fargo, ND 58122 | 2016-09-14 |
| 1801290150 | Mark Noah | Physical Therapist | 1720 South University, Fargo, ND 58122 | 2014-10-15 |
| 1245633486 | Diana Palm | Physical Therapist | 1720 University Drive South, Fargo, ND 58122 | 2014-10-02 |
| 1619379294 | Heather Eken | Physical Therapist | 1305 9th Ave S, Fargo, ND 58103-2501 | 2014-09-25 |
| 1184908113 | Alishia M Daily | Physical Therapist | 3060 Frontier Way S., Fargo, ND 58104 | 2011-10-10 |
| Find all providers in FARGO | ||||
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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.