Gregory Anderson
Physical Therapist in Colchester, Connecticut
1184090458- Practice location
- 123 Broadway St, Colchester, CT 06415-1063
- Phone
- 959-221-7240
- Fax
- —
- Last updated
- September 17, 2026
Gregory Anderson is a Physical Therapist based in Colchester, CT. Gregory Anderson practices in Colchester, CT. The NPI Number for Gregory Anderson is 1184090458 and holds a License No. 039000 (NY). The current practice location address for Gregory Anderson is 123 Broadway St, Colchester, CT 06415-1063 and can be reached out via phone at 959-221-7240.
Provider Profile Details
- NPI Number
- 1184090458
- Provider Name
- Gregory Anderson
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 123 Broadway St, Colchester, CT 06415-1063
- Phone Number
- 959-221-7240
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 20, 2015
- Last Update Date
- September 17, 2026
- Certification Date
- September 17, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 Broadway St
Colchester, CT 06415-1063 - City
- Colchester
- State
- Connecticut
- Zip
- 06415-1063
- Phone Number
- 959-221-7240
Provider Business Mailing Address Details
- Address
- Po Box 417594
Boston, MA 02241-7594 - City
- Boston
- State
- MA
- Zip
- 02241-7594
License Information
- License Number (1)
- 039000
- License State (1)
- NY
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 11176
- License State (2)
- CT
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
- Taxonomy (3)
- Physical Therapist · 225100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Gregory Anderson?
The NPI number of Gregory Anderson is 1184090458. It was assigned on August 20, 2015 and is currently active in the NPPES registry.
What is the specialty of Gregory Anderson?
Gregory Anderson is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 039000.
Where does Gregory Anderson practice?
The practice location is 123 Broadway St, Colchester, CT 06415-1063. The office can be reached at 959-221-7240 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184090458 directly on the NPPES registry website.