Samuel Ian Anderson, DPT
NPI 1790614618ActiveIndividual· Physical Therapist· Saint Louis, MO
Physical Therapist (DPT) in Saint Louis, Missouri, trained at Washington University School of Medicine (class of 2026). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1790614618 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | May 16, 2026 |
| Last updated in NPPES | Jul 23, 2026 |
| Certified by provider | May 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2026032296 | MO |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|
Education and affiliations
| Medical school | Washington University School of Medicine |
|---|---|
| Graduation year | 2026 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Washington UniversitySaint Louis, MO · 3,029 clinicians
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