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

Stephen Anderson

Individual provider Physical Therapist · NPI 1619780715

Stephen Anderson is a Physical Therapist in Saint Augustine, Florida. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

220 Pescado Dr
Saint Augustine, FL 32095-1604
Phone: (904) 803-7196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1619780715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 31, 2025
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025
Mailing address220 Pescado Dr, Saint Augustine, FL 32095-1604

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