DANIEL STEPHEN ANDERSON (DPT) – Physical Therapist, NPI 1205105202

DANIEL STEPHEN ANDERSON (DPT) is a healthcare provider. based in Tigard, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 65098 (OR). The NPI Number for DANIEL STEPHEN ANDERSON (DPT) is 1205105202

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL STEPHEN ANDERSON (DPT)
NPI
1205105202
Phone
(800) 219-8835
Address
16083 SW UPPER BOONES FERRY RD
Enumeration Date
20 December 2011
Last Update Date
10 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
2011 (15 years ago)
PAC ID
7416119524
Group Practice PAC ID
5597178087
Professional Enrollment ID
I20231106000891
Address ID
OR971247844HI9620XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for DANIEL STEPHEN ANDERSON (DPT)

  • 16083 SW UPPER BOONES FERRY RD

    STE. 300

    TIGARD, OR 972247736

    Phone: (800) 219-8835

    Fax: (503) 639-9699

    Type: Mailing

  • 3121 E MADISON ST

    STE. 201

    SEATTLE, WA 981124262

    Phone: (206) 324-5389

    Fax: (206) 324-5391

    Type: Location

  • 3121 E Madison St

    Ste. 201

    Seattle, WA 981124262

    Phone: (206) 324-5389

    Fax: (206) 324-5391

    Type: Location

  • 12651 SE LINCOLN ST

    PORTLAND, OR 972331370

    Phone: (425) 891-3538

    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: 2023-11-06

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
I20231106000891IPhysical Therapist In Private PracticeORTBD

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 activities24037$0
97116Therapy procedure for walking training, each 15 minutes12424$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes9023$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3311$0
97162Evaluation for physical therapy, typically 30 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 97224)

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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: 5597178087View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What identifier follows DANIEL STEPHEN ANDERSON (DPT) across health systems?
The NPI 1205105202 uniquely identifies DANIEL STEPHEN ANDERSON (DPT) in U.S. healthcare data.
Should I treat DANIEL STEPHEN ANDERSON (DPT) as an active provider?
Patients and plans typically see DANIEL STEPHEN ANDERSON (DPT) as active in the national extract.
How should patients interpret DANIEL STEPHEN ANDERSON (DPT)'s specialty?
The extract shows Physical Therapist for DANIEL STEPHEN ANDERSON (DPT). Clinical services aligned with this taxonomy classification.
Can patients visit DANIEL STEPHEN ANDERSON (DPT) in Tigard, Oregon?
For routing, start with Tigard, Oregon for DANIEL STEPHEN ANDERSON (DPT), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.