Marissa Anderson, PT, DPT
NPI 1174389894ActiveIndividual· Physical Therapist· Keller, TX
Physical Therapist (PT, DPT) with Synergy Physical Therapy and Sports Medicine LLC, practicing in Keller, Texas. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1174389894 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Feb 21, 2024 |
| Last updated in NPPES | Nov 2, 2026 |
| Certified by provider | Nov 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1385217 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NC) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Synergy Physical Therapy and Sports Medicine LLCJacksonville, NC · 3 clinicians
Other Physical Therapist providers in Keller
- 1558046300
- 1932416377
- 1902183643
- 1164610747
- 1932796935
- 1114836079
- 1427679497
- 1407066574
- 1033097035
- 1053834374
- 1689067282
- 1922066430