Charlene Kantack Anderson, PHYSICAL THERAPIST
NPI 1003344003ActiveIndividual· Physical Therapist· Newbury Park, CA
Physical Therapist (PHYSICAL THERAPIST) in Newbury Park, California, licensed in CA, with an NPI issued in June 2017. Medicare paid $1,749 for services to 23 patients in 2024.
Overview
| NPI | 1003344003 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHYSICAL THERAPIST |
| Sole proprietor | No |
| NPI issued | Jun 2, 2017 |
| Last updated in NPPES | May 29, 2024 |
| Certified by provider | May 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | PT16045 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 73 across 7 procedure codes |
| Paid by Medicare | $1,749 |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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