Orthopedic & Sports Physical Therapy, PC
NPI 1104836501ActiveOrganization· Physical Therapist, Orthopedic· Mesa, AZ
Physical Therapist, Orthopedic in Mesa, Arizona, registered in NPPES in August 2006. The authorized official on file is R Samuel Anderson, PT, DPT, OCS, Owner, President.
Overview
| NPI | 1104836501 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | Aug 20, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 778,1328,5237 | AZ |
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 |
|---|
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