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

Individual provider Physical Therapist · NPI 1679044903

Mylissa Courtney Anderson, DPT is a Physical Therapist in Private Practice in Riverside, California. Qualified in 2017, 9 years ago. Practices with Hooman M Javanmardi Physical Therapist a Professional Corporation, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3421 Arlington Ave Ste 105
Riverside, CA 92506-3201
Phone: (951) 684-2865
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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 PT295733 (CA)

Record details

NPI number1679044903
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 16, 2018
Last updated in NPPESDecember 16, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hooman M Javanmardi Physical Therapist A Professional Corporation — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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