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

Mary Anderson, PT

Individual provider Physical Therapist · NPI 1104212943

Mary Anderson, PT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 1978, 48 years ago. Practices with New Life Physical Therapy Services PC, a 94-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
48
Licensed in
CA
In the registry since
2015
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

235 Nutmeg St
San Diego, CA 92103-6201
Phone: (619) 239-8687
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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 9090 (CA)

Record details

NPI number1104212943
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESFebruary 16, 2016
Mailing address235 Nutmeg St, San Diego, CA 92103-6201

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice New Life Physical Therapy Services Pc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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