David Lynn Andersen, R.P.T., L.A.T, A.T.C
NPI 1265657001ActiveIndividual· Physical Therapist· Idaho Falls, ID
Physical Therapist (R.P.T., L.A.T, A.T.C) in Idaho Falls, Idaho, licensed in ID, with an NPI issued in April 2007.
Overview
| NPI | 1265657001 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.P.T., L.A.T, A.T.C |
| Sole proprietor | Yes |
| NPI issued | Apr 16, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-322 | ID |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | AT-004 | ID |
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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