Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Jerard Landis, PTA

Individual provider Physical Therapy Assistant · NPI 1639949670

Andrew Jerard Landis, PTA is a Physical Therapy Assistant in Roseville, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

568 N Sunrise Ave Ste 110
Roseville, CA 95661-3097
Phone: (916) 865-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 52944 (CA)

Record details

NPI number1639949670
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 2, 2024
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

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