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

Individual provider Physical Therapist · NPI 1568928364

Tara Rae Anderson, PT, DPT is a Physical Therapist in Private Practice in West Columbia, South Carolina. Graduated from Wayne State University School of Medicine in 2018, 8 years ago. Practices with Aspirus Keweenaw, a 116-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

123 E Medical Ln
West Columbia, SC 29169-4813
Phone: (803) 791-2397
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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 5501019054 (MI)

Record details

NPI number1568928364
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 16, 2019
Last updated in NPPESJanuary 15, 2024
Certification dateJune 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Aspirus Keweenaw — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Columbia