NPI age
6 years
Enumerated 2020-04-15
● Active
Type 1 · Individual
Shantay Anderson
Anderson is 1 of 26 physical therapy assistant providers in Pocatello and 1 of 272 in Idaho.
Primary specialty
Physical Therapy Assistant
Plus 1 subspecialty
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-04-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 272 active physical therapy assistant providers in Idaho.
NPI age
6 years
↓ 3 yr below median (9 yr)
State licenses
2 states
Top 93% — 7% of peers are multi-state
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-04Enumerated in NPPES
2020
2026
Where they practice
Practice location
527 Memorial Dr
Pocatello, ID 832014063
Mailing address
5277 Stuart Ave
Pocatello, ID 832022201
Specialties
-
Physical Therapy Assistant Primary(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...
Practice context
Part of a multi-provider practice. 20 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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