MARIE ANNE ANDREN (PT) – Physical Therapist, NPI 1114649654

MARIE ANNE ANDREN (PT) is a healthcare provider. based in Waterloo, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 005360 (IA). The NPI Number for MARIE ANNE ANDREN (PT) is 1114649654

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MARIE ANNE ANDREN (PT)
NPI
1114649654
Phone
(319) 429-5876
Address
2240 EASLEY ST
Enumeration Date
12 September 2022
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
2001 (25 years ago)
PAC ID
1052786266
Group Practice PAC ID
5193119733
Professional Enrollment ID
I20230331000161
Address ID
IA507025804WA312XXDRXX300

Contacts

Main Contact
https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness95
Years active:3State licenses:1Other names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for MARIE ANNE ANDREN (PT)

  • 2240 EASLEY ST

    WATERLOO, IA 507024110

    Phone: (319) 429-5876

    Type: Mailing

  • 2001 HEATH ST

    WATERLOO, IA 507031214

    Phone: (319) 234-4423

    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: 2023-03-31

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
I20230331000161IPhysical Therapist In Private PracticeIATBD

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 50702)

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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: 5193119733View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Does MARIE ANNE ANDREN (PT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARIE ANNE ANDREN (PT) uses 1114649654.
Does CMS list MARIE ANNE ANDREN (PT) as active?
Yes — MARIE ANNE ANDREN (PT) is active in the NPI listing used on this page.
What taxonomy line describes MARIE ANNE ANDREN (PT)?
For research purposes, treat MARIE ANNE ANDREN (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARIE ANNE ANDREN (PT) on a map?
Expect Waterloo, Iowa as a primary anchor for MARIE ANNE ANDREN (PT) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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