ALEZIA ANDERSON (DPT) – Physical Therapist, NPI 1083390314

ALEZIA ANDERSON (DPT) is a healthcare provider. based in Los angeles, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. LPT-034175 (AZ). The NPI Number for ALEZIA ANDERSON (DPT) is 1083390314

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ALEZIA ANDERSON (DPT)
NPI
1083390314
Phone
Not provided
Address
1230 S OLIVE ST APT 608
Enumeration Date
22 June 2023
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5203254002
Graduation Year
2023 (3 years ago)
PAC ID
1456714203
Group Practice PAC ID
2466348701
Professional Enrollment ID
I20250626001492
Address ID
AZ857136269TU1991XWAYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

2,785 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

Provider Addresses for ALEZIA ANDERSON (DPT)

  • 1230 S OLIVE ST APT 608

    LOS ANGELES, CA 900154199

    Phone:

    Type: Mailing

  • 1991 E AJO WAY STE 149

    TUCSON, AZ 857136269

    Phone: (520) 325-4002

    Fax: (520) 325-4227

    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: 2025-06-26

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
I20250626001492IPhysical Therapist In Private PracticeAZTBD

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 90015)

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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: 2466348701View full group profile
NameSpecialtyState
-OR
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
-AZ
-CO
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ

Reviews

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Frequently asked questions

How is ALEZIA ANDERSON (DPT) identified in CMS data?
CMS-hosted NPPES data lists ALEZIA ANDERSON (DPT) with NPI 1083390314.
Does CMS list ALEZIA ANDERSON (DPT) as active?
Yes — ALEZIA ANDERSON (DPT) is active in the NPI listing used on this page.
What healthcare role does ALEZIA ANDERSON (DPT) hold?
Scheduling teams often label ALEZIA ANDERSON (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is ALEZIA ANDERSON (DPT) based?
ALEZIA ANDERSON (DPT) is tied to Los Angeles, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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