ANDERSON MCGILLIARD – Physical Therapist, NPI 1093247355

ANDERSON MCGILLIARD is a healthcare provider. based in Richland, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT60287572 (WA). The NPI Number for ANDERSON MCGILLIARD is 1093247355

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ANDERSON MCGILLIARD
NPI
1093247355
Phone
(509) 942-3627
Address
560 GAGE BLVD
Enumeration Date
28 March 2017
Last Update Date
28 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099464611
Graduation Year
2012 (14 years ago)
PAC ID
2668758129
Group Practice PAC ID
9739098617
Professional Enrollment ID
I20170418000162
Address ID
WA993523514RI888XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for ANDERSON MCGILLIARD

  • 560, Gage Boulevard, Tri-Cities, Benton County, Washington, 99352, United States

    SUITE 203

    RICHLAND, WA 993528650

    Phone: (509) 942-3627

    Fax: (509) 942-2268

    Type: Mailing

  • Gage Boulevard, Richland, Benton County, Washington, 99338-7319, United States

    RICHLAND, WA 99352

    Phone: (509) 946-1654

    Fax: (509) 943-5652

    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: 2017-04-18

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
I20170418000162IPhysical Therapist In Private PracticeWATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes81339$0
97140Therapy procedure using manual technique, each 15 minutes30231$0
97016Application of blood vessel compression device5511$0
97161Evaluation for physical therapy, typically 20 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 99352)

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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: 9739098617View full group profile
NameSpecialtyState
Medical Oncology, Hematology, Hematology/Oncology, Internal MedicineWA
-MO
Hospitalist, Internal MedicineWA
-WA
P O D I A T R YWA
Hematology/Oncology, Internal MedicineWA
Nurse PractitionerKS
Nurse PractitionerNC
Physician AssistantWA
Internal MedicineWA

Reviews

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Frequently asked questions

Can I verify ANDERSON MCGILLIARD with an NPI only?
You can start verification with NPI 1093247355 for ANDERSON MCGILLIARD, then check state licensing separately.
Does the file indicate ANDERSON MCGILLIARD is practicing under active NPI?
Directory data currently reports ANDERSON MCGILLIARD as active.
What taxonomy line describes ANDERSON MCGILLIARD?
For research purposes, treat ANDERSON MCGILLIARD as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ANDERSON MCGILLIARD on a map?
Expect Richland, Washington as a primary anchor for ANDERSON MCGILLIARD unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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