Andersen Physical Therapy, Inc
NPI 1750068730ActiveOrganization· Occupational Therapist, Hand· Stockton, CA
Occupational Therapist, Hand in Stockton, California, registered in NPPES in June 2023, part of Andersen Physical Therapy, Inc. The authorized official on file is Jonathan Lyle Andersen, DPT, Co Owner.
Overview
| NPI | 1750068730 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Andersen Physical Therapy, Inc |
| NPI issued | Jun 30, 2023 |
| Last updated in NPPES | Jun 30, 2023 |
| Certified by provider | Jun 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist, Hand Primary | 225XH1200X | — | — |
| Physical Therapist, Hand | 2251H1200X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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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