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

Bernardo Anderson

Individual provider Physical Therapist · NPI 1114665452

Bernardo Anderson is a Physical Therapist in Las Vegas, Nevada. Works from 2 locations. Licensed in Maryland, Nevada and Utah.

Licensed in
MD, NV, UT
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

5228 Koa Ave
Las Vegas, NV 89122-5317
Phone: (702) 423-8998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7819 Rocky Springs Rd, Frederick, MD 21702-2824 — (877) 407-3422

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5072 (NV)
Physical Therapist Taxonomy 225100000X · Licence 24975 (MD)
Physical Therapist Taxonomy 225100000X · Licence 13213002-2401 (UT)

Record details

NPI number1114665452
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESJune 22, 2024
Certification dateJune 22, 2024
Mailing address5228 Koa Ave, Las Vegas, NV 89122-5317

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