Andersen Physical Therapy, Inc
NPI 1225029630 · Physical Therapist · Modesto, CA
Enrolled with Medicare as Dme Supplier - Independently-Practicing Physical Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andersen Physical Therapy, Inc is a Physical Therapist organization in Modesto, CA (NPI 1225029630).
Provider details
- NPI number
- 1225029630
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Lyle Andersen, Co Owner(209) 549-4626
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-03
- Last updated
- 2017-04-17
Frequently asked questions
- What is Andersen Physical Therapy, Inc's NPI number?
- Andersen Physical Therapy, Inc's National Provider Identifier (NPI) is 1225029630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Andersen Physical Therapy, Inc?
- Andersen Physical Therapy, Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Andersen Physical Therapy, Inc located?
- Andersen Physical Therapy, Inc's practice location on file with NPPES is 1917 Coffee Rd, Modesto, CA 95355-2704.
- What is Andersen Physical Therapy, Inc's phone number?
- The practice phone number listed in the NPPES registry for Andersen Physical Therapy, Inc is (209) 549-4626.
- Does Andersen Physical Therapy, Inc accept Medicare?
- Andersen Physical Therapy, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Andersen Physical Therapy, Inc?
- The authorized official listed on Andersen Physical Therapy, Inc's NPPES record is Lyle Andersen, Co Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Andersen Physical Therapy, Inc's NPI active?
- Yes — Andersen Physical Therapy, Inc's NPI (1225029630) is active in the NPPES registry as of the last update on 2017-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.