VANDA ANDELOVA (PT) – Physical Therapist, NPI 1821087107

VANDA ANDELOVA (PT) is a healthcare provider. based in Lutz, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT 20918 (FL). The NPI Number for VANDA ANDELOVA (PT) is 1821087107

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
VANDA ANDELOVA (PT)
NPI
1821087107
Phone
(813) 978-9700
Address
21756 STATE ROAD 54
Enumeration Date
19 October 2005
Last Update Date
14 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6238467614
Graduation Year
2001 (25 years ago)
PAC ID
0941261192
Group Practice PAC ID
7719014505
Professional Enrollment ID
I20221118000953
Address ID
AZ853924901AV10450RDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for VANDA ANDELOVA (PT)

  • 21756 STATE ROAD 54

    STE 102

    LUTZ, FL 335492905

    Phone: (813) 978-9700

    Fax: (813) 972-5055

    Type: Location

  • Tampa Covenant Church, Lake Magdalene Boulevard, Carrollwood, Hillsborough County, Florida, 33618, United States

    STE 111W

    TAMPA, FL 336241853

    Phone: (813) 381-6778

    Type: Mailing

  • 10450 W MCDOWELL RD STE 102

    AVONDALE, AZ 853924901

    Phone: (602) 648-5444

    Fax: (602) 772-3801

    Type: Location

  • PO BOX 80217

    PHOENIX, AZ 850600217

    Phone: (602) 385-2115

    Fax: (480) 418-3323

    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: 2022-11-18

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
I20221118000953IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities75177$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes43373$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes41267$0
97150Therapy procedure in a group setting22538$0
97140Therapy procedure using manual technique, each 15 minutes20549$0
View full utilization report →

Insurance plans in this area (ZIP 33549)

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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: 7719014505View full group profile
NameSpecialtyState
Orthopedic SurgeryAZ
Physician AssistantAZ
Physical Therapist In Private PracticeAZ
Orthopedic SurgeryUT
Physician AssistantAZ
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeIL
-AZ
-AZ
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

Does VANDA ANDELOVA (PT) have a public NPI I can cite?
Public records show VANDA ANDELOVA (PT) under NPI 1821087107.
Quick check: is VANDA ANDELOVA (PT) active?
Public NPPES data shows VANDA ANDELOVA (PT) with an active NPI status right now.
How should patients interpret VANDA ANDELOVA (PT)'s specialty?
The extract shows Physical Therapist for VANDA ANDELOVA (PT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to VANDA ANDELOVA (PT)?
VANDA ANDELOVA (PT) is associated with Lutz, Florida in the same public data insurers reference.
Why is information missing for VANDA ANDELOVA (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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