Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Codi Jo Andersen, PT, DPT

Individual provider Physical Therapist · NPI 1790623544

Dr. Codi Jo Andersen, PT, DPT is a Physical Therapist in Apple Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
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

17800 US Highway 18
Apple Valley, CA 92307-1221
Phone: (760) 646-8000
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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 40731 (CA)

Record details

NPI number1790623544
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address17800 Us Highway 18, Apple Valley, CA 92307-1221

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