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

Charlie Anderson, DPT

Individual provider Sports Physical Therapist · NPI 1568960797

Charlie Anderson, DPT is a Sports Physical Therapist in Novi, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

39575 W 10 Mile Rd Ste 201
Novi, MI 48375
Phone: (248) 516-7250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 261 Mack Ave, Detroit, MI 48201-2417 — (810) 347-0036

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501018524 (MI)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 5501018524 (MI)

Record details

NPI number1568960797
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 23, 2018
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

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