Andersen Physical Therapy, Inc
LBN: Andersen Physical Therapy, Inc
Andersen Physical Therapy, Inc is an health care organization with primary practice located at 1917 Coffee Rd , Modesto CA 95355-2704. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Andersen Physical Therapy, Inc can be contacted via phone (209) 549-4626, or through Andersen, Lyle Melvin via phone (209) 549-4626.
Contact Information
Primary practice address
1917 Coffee Rd
Modesto CA 95355-2704
Phone: (209) 549-4626
Fax: (209) 549-4625
Website:
Authorized official contact:
Name: Andersen, Lyle Melvin Physical Therapist (PT)
Phone: (209) 549-4626
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 0134075 | California |
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1225029630 |
|---|---|
| LBN Legal business name | Andersen Physical Therapy, Inc |
| DBA Doing business as | |
| Authorized official | Andersen, Lyle Melvin Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Apr 17th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225029630 | NPPES |
| California | Other | YYY48495Y | BLUE SHIELD |
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