Provider Demographics
NPI:1144275199
Name:MCARTHUR, ANNE (PT)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4544 WESTLAWN AVE
Mailing Address - Street 2:APT 8
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-6475
Mailing Address - Country:US
Mailing Address - Phone:310-699-9463
Mailing Address - Fax:310-659-3773
Practice Address - Street 1:50 N LA CIENEGA BLVD
Practice Address - Street 2:100
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2227
Practice Address - Country:US
Practice Address - Phone:310-659-7414
Practice Address - Fax:310-659-3773
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT25168225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT25168BMedicare ID - Type Unspecified
CAW13800Medicare ID - Type Unspecified