MR. R SAMUEL ANDERSON (NPI# 1366452856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366452856 |
| Entity Type | Individual |
| Full Name | MR. R SAMUEL ANDERSON |
| Credential | PT, DPT, OCS |
| Practice Address |
1500 S Dobson Rd Ste 314 Mesa AZ 85202-4752 |
| Practice Telephone | 4808337879 |
| Practice Fax Number | 4808448411 |
| Mailing Telephone | 4808337879 |
| Mailing Fax Number | 4808448411 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
778 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LICENSE | 778 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992872295 | R Dale Anderson | Optometrist | 1544 Southlake Pkwy, Suite 9-b, Morrow, GA 30260-3025 | 2006-11-29 |
| Street Address |
1500 S DOBSON RD STE 314 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003216730 | Christopher Samuel Anderson | Physical Therapist | 1500 S Dobson Rd Ste 314, Mesa, AZ 85202-4752 | 2014-08-29 |
| 1912910522 | John James Bodine | Physical Therapist | 1500 S Dobson Rd Ste 314, Mesa, AZ 85202-4752 | 2006-08-14 |
| 1982614376 | William Brian Kentopp | Physical Therapist | 1500 S Dobson Rd Ste 314, Mesa, AZ 85202-4752 | 2006-08-08 |
| 1104836501 | Orthopedic & Sports Physical Therapy, PC | Physical Therapist | 1500 S Dobson Rd Ste 314, Mesa, AZ 85202-4752 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558880856 | Adrienne Yamamoto | Physical Therapist | 2500 S Power Rd Ste 126, Mesa, AZ 85209-6688 | 2017-09-18 |
| 1083000129 | Nadine Gibson | Physical Therapist | 6824 E Brown Rd, Suite 102, Mesa, AZ 85207-3705 | 2015-04-15 |
| 1942559547 | Garret William Bruno | Physical Therapist | 1450 S Dobson Rd Ste A302, Mesa, AZ 85202-4746 | 2012-08-29 |
| 1407104375 | Andrew C Jarzabek | Physical Therapist | 1959 S Val Vista Dr Ste 106, Mesa, AZ 85204-7357 | 2012-08-26 |
| 1700166154 | Elis Raquel Conejo | Physical Therapist | 6553 E. Baywood, Suite 205, Mesa, AZ 85206 | 2011-08-17 |
| 1871774588 | Lianne Ka'uilani Rogers | Physical Therapist | 2217 W Keating Ave, Mesa, AZ 85202-7321 | 2007-11-21 |
| 1407848088 | Fred Edward Treece | Physical Therapist | 1345 E Mckellips Rd, 101, Mesa, AZ 85203-2721 | 2005-08-18 |
| 1578567129 | Marc Wayne Moore | Physical Therapist | 2500 S Power Rd, Ste 123, Mesa, AZ 85209-6686 | 2005-06-10 |
| 1205320207 | Brian Keith Infiesto | Physical Therapist | 1440 S Country Club Dr, Mesa, AZ 85210-9701 | 2018-06-22 |
| 1689175747 | Kimberly Hubbard | Physical Therapist | 2225 W Southern Ave, Mesa, AZ 85202-4716 | 2018-02-23 |
| Find all providers in MESA | ||||
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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.