MR. NICHOLAS C ANDERSON (NPI# 1962041301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962041301 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS C ANDERSON |
| Credential | PTA |
| Practice Address |
1700 Keystone Pacific Pkwy Patterson CA 95363-8874 |
| Mailing Address |
1518 Coffee Rd Modesto CA 95355-3164 |
| Practice Telephone | 2098954206 |
| Mailing Telephone | 2096224387 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA50433 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTA | PTA50433 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
| 1700269693 | Nicholas Reed Anderson | Emergency Medical Technician, Basic | 24095 Marathon St, Mission Viejo, CA 92691-3803 | 2015-07-09 |
| 1295046712 | Nicholas Robert Anderson | Physical Medicine & Rehabilitation | 121 Cahill Rd Suite 206, Branson, MO 65616 | 2010-06-30 |
| 1669094108 | Nicholas E Anderson | Student in an Organized Health Care Education/Training Program | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2020-05-06 |
| 1679100408 | Nicholas Beecher Anderson | Student in an Organized Health Care Education/Training Program | 7450 Hospital Dr Ste 4500, Dublin, OH 43016-9693 | 2020-03-23 |
| 1396378519 | Nicholas Kent Anderson | Pharmacist | 1895 E Fire Tower Rd, Greenville, NC 27858-4132 | 2020-02-17 |
| 1740827229 | Nicholas A Anderson | Counselor | 8 Kilburn St, New Bedford, MA 02740-7321 | 2019-12-04 |
| 1700443777 | Nicholas Wilson Anderson | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2019-05-24 |
| 1093281016 | Nicholas Anderson | Physician Assistant | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2018-10-17 |
| 1366976409 | Nicholas L Anderson | Pediatrics | 130 2nd St, Neenah, WI 54956-2883 | 2017-04-15 |
| Street Address |
1700 KEYSTONE PACIFIC PKWY |
| City | PATTERSON |
| State | CA |
| Zip Code | 95363-8874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407881972 | Merced Open Imaging, Inc. | Radiology | 1700 Keystone Pacific Pkwy, Patterson, CA 95363-8874 | 2006-07-12 |
| 1215316195 | Fatema Bandookwala | Registered Nurse | 1700 Keystone Pacific Pkwy, Suite B, Patterson, CA 95363-8874 | 2015-05-25 |
| 1942629977 | Innovative Dialysis of Patterson LLC | Clinic/Center | 1700 Keystone Pacific Pkwy, Suite A-1, Patterson, CA 95363-8874 | 2014-04-07 |
| 1669633624 | Diana K Blythe | Pediatrics | 1700 Keystone Pacific Pkwy, Unit B, Patterson, CA 95363-8874 | 2008-06-23 |
| 1063430916 | Del Puerto Health Care District | Clinic/Center | 1700 Keystone Pacific Pkwy, Unit B, Patterson, CA 95363-8874 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871090472 | Quadmed Medical Clinics of California, Inc. | Clinic/Center | 2065 Keystone Pacific Parkway, Patterson, CA 95363 | 2018-04-10 |
| 1295287613 | Chandni Mukesh Patel | Registered Nurse | 200 C Patterson, Patterson, CA 95363 | 2016-11-02 |
| 1700251279 | Carousel Onia | Registered Nurse | 1372 Samantha Creek Drive, Patterson, CA 95363 | 2015-12-09 |
| 1740534726 | Wal-mart Stores Inc | Technician/Technologist | 1030 Sperry Ave, Patterson, CA 95363 | 2012-10-30 |
| 1770725483 | Thomas Earl Klein | Dentist | 101 S El Circulo Ave, Patterson, CA 95363 | 2009-03-26 |
| 1740450808 | Gary Eric F Sanchez | Dentist | 1040 W. Las Palmas Ave., Suite C, Patterson, CA 95363 | 2008-03-05 |
| 1538381967 | Patterson Joint Unified Sd | Local Education Agency (LEA) | 510 Keystone Blvd, Patterson, CA 95363 | 2007-05-03 |
| 1538389234 | Modesto Advanced Diagnostic Imaging Medical Center | Radiology | 1108 Ward Avenue, Building A, Suite 1, Patterson, CA 95363 | 2007-04-26 |
| 1902849177 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 1080 Sperry Ave, Patterson, CA 95363 | 2006-06-14 |
| 1982126397 | Neha Garg | Internal Medicine | 200 C St, Patterson, CA 95363 | 2017-07-07 |
| Find all providers in zip 95363 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1972640662 | Nadine C Medley | Physical Therapy Assistant | 40 Jon Barrett Rd, Patterson, NY 12563-2164 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587142 | Phillip A Sainz | Physical Therapy Assistant | 27136 Paseo Espada Ste B1103, San Juan Capistrano, CA 92675-2737 | 2020-10-26 |
| 1932708385 | Alisia Rios | Physical Therapy Assistant | 10445 Mast Blvd Apt 205, Santee, CA 92071-5331 | 2020-10-17 |
| 1376141275 | Andy Fang | Physical Therapy Assistant | 45 Palatine Apt 246, Irvine, CA 92612-7642 | 2020-10-13 |
| 1700484987 | Huy Nguyen | Physical Therapy Assistant | 4133 Mohr Ave Ste H, Pleasanton, CA 94566-4750 | 2020-10-11 |
| 1285231928 | Laura Merrick | Physical Therapy Assistant | 10082 Manzanita Dr, Alta Loma, CA 91737-2918 | 2020-10-06 |
| 1356958839 | Karan Kamdar | Physical Therapy Assistant | 8123 Magnolia Ave Apt 39, Riverside, CA 92504-3463 | 2020-09-28 |
| 1942817978 | Yusuf Hammoud | Physical Therapy Assistant | 2226 W Grayson Ave, Anaheim, CA 92801-1541 | 2020-09-24 |
| 1528673662 | Cinnamon Anjelica Marie San Miguel | Physical Therapy Assistant | 1104 S Gunlock Ave, Compton, CA 90220-4430 | 2020-09-15 |
| 1780299354 | Laura Barker | Physical Therapy Assistant | 255 N White Rd Ste 200c, San Jose, CA 95127-1966 | 2020-09-10 |
| 1598379869 | Fernando Rey Dupa Bosch | Physical Therapy Assistant | 7016 Corvus Cir, Roseville, CA 95747-8765 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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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.