Tara Rae Anderson, PT, DPT
NPI 1568928364ActiveIndividual· Physical Therapist· West Columbia, SC
Physical Therapist (PT, DPT) in West Columbia, South Carolina, trained at Wayne State University School of Medicine (class of 2018). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1568928364 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Feb 16, 2019 |
| Last updated in NPPES | Jan 15, 2024 |
| Certified by provider | Jun 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501019054 | MI |
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 (MI) |
|---|
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Aspirus KeweenawLaurium, MI · 115 clinicians
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