Keanu Andico, PT
NPI 1376212704ActiveIndividual· Physical Therapy Assistant· Riverside, CA
Physical Therapy Assistant (PT) in Riverside, California, trained at Univ of Calif, San Francisco School of Dentistry (class of 2021). Medicare paid $96,479 for services to 259 patients in 2024.
Overview
| NPI | 1376212704 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Sep 9, 2021 |
| Last updated in NPPES | Sep 9, 2021 |
| Certified by provider | Sep 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | — | — |
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 | 259 |
|---|---|
| Services billed | 5,048 across 9 procedure codes |
| Paid by Medicare | $96,479 |
Education and affiliations
| Medical school | Univ of Calif, San Francisco School of Dentistry |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Mobile Therapy Specialists Inc.Huntington Beach, CA · 34 clinicians
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