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Andersen Physical Therapy, Inc

Physical Therapist in Modesto, CA · enumerated 2005 · authorized official Lyle Andersen, Co Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225029630

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Registry record

Entity type Organization (Type 2)
Legal business name Andersen Physical Therapy, Inc
Practice address 1917 Coffee Rd, Modesto, CA, 95355
Phone (209) 549-4626
Fax (209) 549-4625
Enumeration date Nov 3, 2005
Last updated in NPPES Apr 17, 2017

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 0134075 (CA) Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Lyle Andersen
Title Co Owner
Phone (209) 549-4626

Other identifiers

Identifier Type State Issuer
YYY48495Y Other CA BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Andersen Physical Therapy, Inc?
The NPI for Andersen Physical Therapy, Inc is 1225029630, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Andersen Physical Therapy, Inc?
NPPES lists Lyle Andersen (Co Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-17.