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Andrew Jerard Landis, PTA

NPI 1639949670ActiveIndividual· Physical Therapy Assistant· Roseville, CA

Physical Therapy Assistant (PTA) in Roseville, California, licensed in CA, with an NPI issued in January 2024.

Overview

NPI1639949670
StatusActive
Entity typeIndividual
CredentialPTA
Sole proprietorNo
NPI issuedJan 2, 2024
Last updated in NPPESJan 2, 2024
Certified by providerJan 2, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000X52944CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapy Assistant providers in Roseville

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