Skip to content

Glenn Douglas Anderson

NPI 1043054364ActiveIndividual· Physical Therapy Assistant· Federal Way, WA

Physical Therapy Assistant in Federal Way, Washington, licensed in WA, with an NPI issued in June 2024.

Overview

NPI1043054364
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 21, 2024
Last updated in NPPESJun 21, 2024
Certified by providerJun 21, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000XP160071875WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapy Assistant providers in Federal Way

All Physical Therapy Assistant providers in Washington →