DAVID ANDERSON (PT) – Physical Therapist, NPI 1043634678

DAVID ANDERSON (PT) is a healthcare provider. based in Bethel, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 9299 (MN). The NPI Number for DAVID ANDERSON (PT) is 1043634678

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DAVID ANDERSON (PT)
NPI
1043634678
Phone
Not provided
Address
1820 229TH AVE NW
Enumeration Date
18 February 2014
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516887500
Graduation Year
2013 (13 years ago)
PAC ID
1254564164
Group Practice PAC ID
4486552593
Professional Enrollment ID
I20140430000918
Address ID
MN551222345EA2119XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for DAVID ANDERSON (PT)

  • 1820 229TH AVE NW

    BETHEL, MN 550059337

    Phone:

    Type: Mailing

  • 1955 COUNTY ROAD B2 W

    ROSEVILLE, MN 551132723

    Phone: (651) 697-1313

    Type: Location

  • 2119 Cliff Rd

    Eagan, MN 551222345

    Phone: (651) 688-7500

    Fax: (763) 260-7653

    Type: Location

  • 1939 MINNEHAHA AVE W STE 300

    SAINT PAUL, MN 551041033

    Phone: (651) 748-4338

    Fax: (651) 748-2892

    Type: Mailing

  • 11995 SINGLETREE LN STE 120

    EDEN PRAIRIE, MN 553445338

    Phone: (952) 373-5720

    Fax: (763) 260-7653

    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: 2014-04-30

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
I20140430000918IPhysical Therapist In Private PracticeMNTBD

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
97140Therapy procedure using manual technique, each 15 minutes43127$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes28427$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes7616$0
97161Evaluation for physical therapy, typically 20 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 55005)

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Provider's Procedures

DAVID ANDERSON (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24641
PHYSICAL THERAPYMN97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes51145

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: 4486552593View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-WI
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
-MN
-MN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Is there an official ID for DAVID ANDERSON (PT) in U.S. healthcare records?
The official identifier for DAVID ANDERSON (PT) is NPI 1043634678.
Would DAVID ANDERSON (PT) appear as active to a payer?
You can treat DAVID ANDERSON (PT) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DAVID ANDERSON (PT)?
DAVID ANDERSON (PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DAVID ANDERSON (PT)?
Travel planning: use Bethel, Minnesota as the reference point for DAVID ANDERSON (PT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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