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

Lisa Anderson, PT

Individual provider Physical Therapist · NPI 1821115288

Lisa Anderson, PT is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2014, 12 years ago. Practices with Move Mobile Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Florida and Massachusetts.

Years since qualifying
12
Licensed in
FL, MA
In the registry since
2007
Specialties on file
2
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

4101 Southpoint Dr E
Jacksonville, FL 32216-0996
Phone: (904) 296-6800
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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 26921 (FL)
Physical Therapist Taxonomy 225100000X · Licence 8630 (MA)

Record details

NPI number1821115288
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 23, 2007
Last updated in NPPESAugust 17, 2015
Mailing address140 Crosstide Cir, Ponte Vedra Beach, FL 32082-4028

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Move Mobile Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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