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

Maxwell Tyler Anderson, ATC/LAT, OPE-C

Individual provider Athletic Trainer · NPI 1629846472

Maxwell Tyler Anderson, ATC/LAT, OPE-C is an Athletic Trainer in Cortlandt Manor, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

1985 Crompond Rd Bldg E
Cortlandt Manor, NY 10567-4146
Phone: (914) 233-3022
Fax: (914) 402-1194
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 003185 (NY)

Record details

NPI number1629846472
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC/LAT , OPE-C
Sole proprietorNo
NPI enumeratedDecember 12, 2023
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

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