Lyle Melvin Andersen, PT
NPI 1265413918ActiveIndividual· Physical Therapist· Modesto, CA
Physical Therapist (PT) with Andersen Physical Therapy Inc, practicing in Modesto, California. Medicare paid $20,940 for services to 47 patients in 2024.
Overview
| NPI | 1265413918 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Nov 9, 2005 |
| Last updated in NPPES | Apr 17, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT5278 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 1,024 across 10 procedure codes |
| Paid by Medicare | $20,940 |
Education and affiliations
| Graduation year | 1969 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Andersen Physical Therapy IncModesto, CA · 11 clinicians
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