NICHOLAS W ANDERSON (DPT) – Physical Therapist, NPI 1699351981

NICHOLAS W ANDERSON (DPT) is a healthcare provider. based in Prescott, Arizona. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. CP042634T (AZ). The NPI Number for NICHOLAS W ANDERSON (DPT) is 1699351981

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS W ANDERSON (DPT)
NPI
1699351981
Phone
(928) 296-9285
Address
3623 Crossings Dr Ste 282
Enumeration Date
18 March 2021
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4404493400
Graduation Year
2019 (7 years ago)
PAC ID
3072921808
Group Practice PAC ID
3375455918
Professional Enrollment ID
I20210510000965
Address ID
OH441225806BE23175PARK300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:5State licenses:3Digital endpointsOther names

2,784 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

Provider Addresses for NICHOLAS W ANDERSON (DPT)

  • 3623 Crossings Dr Ste 282

    Prescott, AZ 863057101

    Phone: (928) 296-9285

    Fax: (928) 441-8421

    Type: Location

  • 1580 Logan St., Ste 600 PMB 11

    Denver, CO 80203

    Phone: (928) 296-9285

    Fax: (928) 441-8421

    Type: Location

  • 23811 CHAGRIN BLVD STE 120

    BEACHWOOD, OH 441225555

    Phone: (216) 682-0413

    Fax: (216) 682-0417

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210510000965IPhysical Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities65438$0
97140Therapy procedure using manual technique, each 15 minutes24240$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16646$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11332$0
97161Evaluation for physical therapy, typically 20 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 86305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375455918View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Medicine And RehabilitationNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

Can I cross-check NICHOLAS W ANDERSON (DPT) using NPI 1699351981?
NPI 1699351981 belongs to NICHOLAS W ANDERSON (DPT); compare other details if you need extra assurance.
Is there an active status for NICHOLAS W ANDERSON (DPT)?
For scheduling context, NICHOLAS W ANDERSON (DPT) is shown as active in the registry.
What area of care is associated with NICHOLAS W ANDERSON (DPT)?
NICHOLAS W ANDERSON (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is NICHOLAS W ANDERSON (DPT) associated with Prescott?
Public fields place NICHOLAS W ANDERSON (DPT) around Prescott, Arizona. Always confirm the exact site before visiting.
Does NICHOLAS W ANDERSON (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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