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

Mr. Jason William Anderson, PT

Individual provider Physical Therapist · NPI 1639319924

Mr. Jason William Anderson, PT is a Physical Therapist in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
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

1640 Newport Blvd Ste 220
Costa Mesa, CA 92627-3786
Phone: (949) 650-4362
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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 28877 (CA)

Record details

NPI number1639319924
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 25, 2009
Last updated in NPPESFebruary 25, 2009

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