Ian Radford Anderson, DPT
Ian Radford Anderson, DPT is a Physical Therapist in Private Practice in South Lake Tahoe, California. Qualified in 2017, 9 years ago. Practices with PT Revolution Physical Therapy PC, a 12-clinician group and accepts Medicare assignment. Licensed in California and South Carolina.
- Years since qualifying
- 9
- Licensed in
- CA, SC
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- DPT — Doctor of Physical Therapy
- The doctoral degree now required to enter physical therapy practice.
Practice location Address checks out
2038 Lake Tahoe BlvdSouth Lake Tahoe, CA 96150-6499
Phone: (530) 208-9910
Fax: (530) 285-2001
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 295037 (CA) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 8708 (SC) |
Record details
| NPI number | 1447769997 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPT |
| Sole proprietor | No |
| NPI enumerated | September 28, 2017 |
| Last updated in NPPES | January 20, 2021 |
| Certification date | January 20, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Pt Revolution Physical Therapy Pc — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in South Lake Tahoe
-
Alyssa Andres
2038 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6499 · (530) 208-9910
-
Michelle Appelle, MSPT
2170 S Ave, South Lake Tahoe, CA 96150-7026 · (530) 543-5896
-
Mr. Jeffrey Barbrie, DPT
2170 S Ave, South Lake Tahoe, CA 96150-7026 · (530) 543-5896
-
Alan Anthony Barichievich, MS, PT
2170 S Ave, South Lake Tahoe, CA 96150-7026 · (530) 543-5896