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

Jonathan Lyle Andersen, PT

Individual provider Physical Therapist · NPI 1346326550

Jonathan Lyle Andersen, PT is a Physical Therapist in Private Practice in Modesto, California. Qualified in 2006, 20 years ago. Practices with Andersen Physical Therapy Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3500 Coffee Rd Ste 3
Modesto, CA 95355-1344
Phone: (209) 342-2300
Fax: (209) 524-4240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 33070 (CA)

Record details

NPI number1346326550
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address4301 N Star Way, Modesto, CA 95356-9262

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Andersen Physical Therapy Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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