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

Keanu Andico, PT

Individual provider Physical Therapy Assistant · NPI 1376212704

Keanu Andico, PT is a Physical Therapist in Private Practice in Riverside, California. Graduated from Univ of Calif, San Francisco School of Dentistry in 2021, 5 years ago. Practices with Mobile Therapy Specialists Inc, a 35-clinician group and accepts Medicare assignment.

Years since qualifying
5
Trained at
Univ of Calif, San Francisco School of Dentistry
In the registry since
2021
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

6177 River Crest Dr Ste A
Riverside, CA 92507-0728
Phone: (951) 653-4480
Fax: (951) 653-5051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1376212704
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021
Mailing address6177 River Crest Dr Ste A, Riverside, CA 92507-0728

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIV OF CALIF, SAN FRANCISCO SCHOOL OF DENTISTRY
Graduated 2021 (5 years in practice)
Group practice Mobile Therapy Specialists Inc. — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Riverside