Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Nielsen-Lyman, PT, DPT

Individual provider Physical Therapist · NPI 1548908882

Andrew Nielsen-Lyman, PT, DPT is a Physical Therapist in Private Practice in Santa Monica, California. Qualified in 2022, 4 years ago. Practices with Evolution Physical Therapy Inc, a 72-clinician group. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

925 Wilshire Blvd Ste A
Santa Monica, CA 90401-1891
Phone: (310) 319-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 302123 (CA)

Record details

NPI number1548908882
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESMay 26, 2022
Certification dateMay 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Evolution Physical Therapy Inc — 72 clinicians
Accepts Medicare assignment Not indicated

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