Keanu Andico, PT
NPI 1376212704 · Physical Therapy Assistant · Riverside, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keanu Andico, PT is a Physical Therapy Assistant provider in Riverside, CA (NPI 1376212704).
Provider details
- NPI number
- 1376212704
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
5,030 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 1,647 | $23 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 1,322 | $30 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 888 | $20 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 500 | $9 |
| Therapy Procedure Using Functional Activities97530 | 372 | $37 |
| Therapy Procedure for Walking Training, Each 15 Minutes97116 | 203 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-09-09
- Certified
- 2021-09-09
Frequently asked questions
- What is Keanu Andico's NPI number?
- Keanu Andico's National Provider Identifier (NPI) is 1376212704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keanu Andico's specialty?
- Keanu Andico is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Keanu Andico located?
- Keanu Andico's practice location on file with NPPES is 6177 River Crest Dr Ste a, Riverside, CA 92507-0728.
- What is Keanu Andico's phone number?
- The practice phone number listed in the NPPES registry for Keanu Andico is (951) 653-4480.
- Does Keanu Andico accept Medicare?
- Keanu Andico is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keanu Andico's NPI active?
- Yes — Keanu Andico's NPI (1376212704) is active in the NPPES registry as of the last update on 2021-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.