Mark D. Anderson, PT
NPI 1790889889ActiveIndividual· Physical Therapist· Salt Lake City, UT
Physical Therapist (PT) with Mountain Land Rehabilitation LLC, practicing in Salt Lake City, Utah. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1790889889 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Sep 11, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 52908142401 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (UT) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Mountain Land Rehabilitation LLCTaylorsville, UT · 210 clinicians
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