DR. CHARLLOTTE NICOLLE ANDERSON (DPT) – Physical Therapist, NPI 1033665609

DR. CHARLLOTTE NICOLLE ANDERSON (DPT) is a healthcare provider. based in Redding, California. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 291745 (CA). The NPI Number for DR. CHARLLOTTE NICOLLE ANDERSON (DPT) is 1033665609

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLLOTTE NICOLLE ANDERSON (DPT)
NPI
1033665609
Phone
(760) 793-2237
Address
1539 CHESTNUT ST
Enumeration Date
1 September 2016
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
5302239474
Graduation Year
2016 (10 years ago)
PAC ID
6002194354
Group Practice PAC ID
3072561471
Professional Enrollment ID
I20161020002449
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for DR. CHARLLOTTE NICOLLE ANDERSON (DPT)

  • 1539 CHESTNUT ST

    REDDING, CA 960011639

    Phone: (760) 793-2237

    Type: Mailing

  • 3278, Bechelli Lane, Redding, Shasta County, California, 96002, United States

    REDDING, CA 96002

    Phone: (530) 223-9474

    Type: Location

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: 2016-10-20

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
I20161020002449IPhysical Therapist In Private PracticeCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96001)

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Provider's Procedures

DR. CHARLLOTTE NICOLLE ANDERSON (DPT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97001Physical therapy evaluation5454
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes73063
PHYSICAL THERAPYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes15636

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: 3072561471View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What federal number belongs to DR. CHARLLOTTE NICOLLE ANDERSON (DPT)?
The federal identifier for DR. CHARLLOTTE NICOLLE ANDERSON (DPT) is NPI 1033665609.
Is DR. CHARLLOTTE NICOLLE ANDERSON (DPT)'s NPI currently valid?
The extract we use shows DR. CHARLLOTTE NICOLLE ANDERSON (DPT) as active.
What kind of provider is DR. CHARLLOTTE NICOLLE ANDERSON (DPT)?
The page reflects Physical Therapist for DR. CHARLLOTTE NICOLLE ANDERSON (DPT). Clinical services aligned with this taxonomy classification.
Where does public data place DR. CHARLLOTTE NICOLLE ANDERSON (DPT)?
The snapshot lists Redding, California for DR. CHARLLOTTE NICOLLE ANDERSON (DPT); download NPPES for the complete set.
How can I contact DR. CHARLLOTTE NICOLLE ANDERSON (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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