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

Jared S. Anderson, PT, DPT

Individual provider Physical Therapist · NPI 1912375494

Jared S. Anderson, PT, DPT is a Physical Therapist in Private Practice in Phoenix, Arizona. Qualified in 2015, 11 years ago. Practices with Shellman Inc PA, a 45-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
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

2005 W Happy Valley Rd Ste 170
Phoenix, AZ 85085-2893
Phone: (623) 322-0654
Fax: (623) 322-0664
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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 11689PT (AZ)

Record details

NPI number1912375494
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 14, 2015
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Shellman Inc Pa — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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