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

Mark Edward Andersen, PT

Individual provider Physical Therapist · NPI 1285617076

Mark Edward Andersen, PT is a Physical Therapist in Vallejo, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
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

127 Hospital Dr #101
Vallejo, CA 94589-2500
Phone: (707) 552-8795
Fax: (707) 552-9638
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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 PT7772 (CA)

Record details

NPI number1285617076
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 25, 2005
Last updated in NPPESOctober 21, 2008
Mailing address860 Southampton Rd, Benicia, CA 94510-1907

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