Andersen Physical Therapy, Inc
NPI 1225029630ActiveOrganization· Physical Therapist· Modesto, CA
Physical Therapist in Modesto, California, registered in NPPES in November 2005. The authorized official on file is Lyle Melvin Andersen, PT, Co Owner. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1225029630 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2005 |
| Last updated in NPPES | Apr 17, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | 0134075 | CA |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
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 DME Supplier - Independently-Practicing Physical Therapist (CA); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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