HALEY RENEE ANDERSON (PT, DPT) – Physical Therapist, NPI 1851967772

HALEY RENEE ANDERSON (PT, DPT) is a healthcare provider. based in Grass valley, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 300235 (CA). The NPI Number for HALEY RENEE ANDERSON (PT, DPT) is 1851967772

Main info

Female
5 Years Of Experience
Name
HALEY RENEE ANDERSON (PT, DPT)
NPI
1851967772
Phone
(916) 220-5183
Address
16475 GEORGE WAY
Enumeration Date
1 June 2021
Last Update Date
1 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5302727306
Graduation Year
2021 (5 years ago)
PAC ID
5092111252
Group Practice PAC ID
2466345368
Professional Enrollment ID
I20210914000751
Address ID
CA959455184GR715XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,448 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for HALEY RENEE ANDERSON (PT, DPT)

  • 16475 GEORGE WAY

    GRASS VALLEY, CA 959497333

    Phone: (916) 220-5183

    Type: Mailing

  • 715 MALTMAN DR

    GRASS VALLEY, CA 959455184

    Phone: (530) 272-7306

    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: 2021-09-14

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
I20210914000751IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,402166$0
97140Therapy procedure using manual technique, each 15 minutes1,363139$0
97535Training for self-care or home management, each 15 minutes1,037176$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes26955$0
97116Therapy procedure for walking training, each 15 minutes20444$0
View full utilization report →

Insurance plans in this area (ZIP 95949)

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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: 2466345368View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

How is HALEY RENEE ANDERSON (PT, DPT) identified in CMS data?
CMS-hosted NPPES data lists HALEY RENEE ANDERSON (PT, DPT) with NPI 1851967772.
Is HALEY RENEE ANDERSON (PT, DPT) still practicing?
HALEY RENEE ANDERSON (PT, DPT) is currently listed as active in the public NPI registry.
What is HALEY RENEE ANDERSON (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for HALEY RENEE ANDERSON (PT, DPT) here. Clinical services aligned with this taxonomy classification.
What area does HALEY RENEE ANDERSON (PT, DPT) serve?
HALEY RENEE ANDERSON (PT, DPT)'s listing highlights Grass Valley, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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