CHARLIE ANDERSON (DPT) – Physical Therapist, NPI 1568960797

CHARLIE ANDERSON (DPT) is a healthcare provider. based in Detroit, Michigan. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 5501018524 (MI). The NPI Number for CHARLIE ANDERSON (DPT) is 1568960797

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
CHARLIE ANDERSON (DPT)
NPI
1568960797
Phone
(810) 347-0036
Address
261 Mack Ave
Enumeration Date
23 January 2018
Last Update Date
12 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485167250
Graduation Year
2017 (9 years ago)
PAC ID
9638439946
Group Practice PAC ID
8123310851
Professional Enrollment ID
I20180206002060
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for CHARLIE ANDERSON (DPT)

  • 261 Mack Ave

    Detroit, MI 482012417

    Phone: (810) 347-0036

    Type: Location

  • Harper Avenue, Saint Clair Shores, Clinton Township, Macomb County, Michigan, 48036, United States

    CLINTON TWP, MI 480354258

    Phone: (586) 350-2644

    Type: Mailing

  • West 10 Mile Road, Novi, Oakland County, Michigan, 48335, United States

    NOVI, MI 48375

    Phone: (248) 516-7250

    Type: Location

  • 2817 ROCK MERRITT AVE

    FORT BRAGG, NC 283100001

    Phone: (910) 907-8922

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 48201)

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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: 8123310851View full group profile

Reviews

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Frequently asked questions

What federal number belongs to CHARLIE ANDERSON (DPT)?
The federal identifier for CHARLIE ANDERSON (DPT) is NPI 1568960797.
Is CHARLIE ANDERSON (DPT)'s NPI currently valid?
The extract we use shows CHARLIE ANDERSON (DPT) as active.
What field does CHARLIE ANDERSON (DPT) work in?
You can think of CHARLIE ANDERSON (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is CHARLIE ANDERSON (DPT)'s primary listing?
We display Detroit, Michigan because that is what the record indicates for CHARLIE ANDERSON (DPT).
What if Detroit, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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