Ethan Anderson, DPT in Peoria, AZ - Medicare Physical Therapist In Private Practice Provider

Ethan Anderson, DPT is a medicare enrolled "Physical Therapist" provider in Peoria, Arizona. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Foothills Sports Medicine And Rehabilitation Llc and his current practice location is 7707 W Deer Valley Rd, Suite 100, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 376-9100.

Ethan Anderson is licensed to practice in Arizona (license number 12383) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063966554.

Contact Information

	Ethan Anderson, DPT
	7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101
	(623) 376-9100
	(623) 376-9141

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Anderson
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	9 Years
Location	7707 W Deer Valley Rd, Peoria, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ethan Anderson graduated from medical school in 2016

NPI Data:

NPI Number: 1063966554
Provider Enumeration Date: 08/12/2016
Last Update Date: 08/12/2016

Medicare PECOS Information:

PECOS PAC ID: 3476849662
Enrollment ID: I20160914002839

Medical Identifiers

Medical identifiers for Ethan Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063966554	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12383 (Arizona)	Primary
2251S0007X	Physical Therapist - Sports	(* (Not Available))	Secondary
2251X0800X	Physical Therapist - Orthopedic	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Foothills Sports Medicine And Rehabilitation Llc	2668457979	151

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ethan Anderson allows following entities to bill medicare on his behalf.

Provider Name	Foothills Sports Medicine & Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558318170 PECOS PAC ID: 2668457979 Enrollment ID: O20040621001886

Provider Name	Foothills Sports Medicine And Rehabilitation, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1851490866 PECOS PAC ID: 4688614746 Enrollment ID: O20050924000070

Provider Name	Foothills Sports Medicine & Rehabilitation-surprise, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750544623 PECOS PAC ID: 1658439468 Enrollment ID: O20081023000323

Provider Name	Foothills Sports Medicine & Physical Therapy-91st Ave-olive
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1518592351 PECOS PAC ID: 1850719204 Enrollment ID: O20200916001687

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Anderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ethan Anderson, DPT 15410 S Mountain Pkwy, Suite 112, Phoenix, AZ 85044-6691 Ph: (480) 706-1161	Ethan Anderson, DPT 7707 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-2101 Ph: (623) 376-9100

Reviews and Comments

Physical Therapist in Peoria, AZ

Michelle Renae Wagoner, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9713 W Tonopah Dr, Peoria, AZ 85382 Phone: 480-381-0220 Fax: 623-594-9094
Bradley Day, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8643 W Kelton Ln Ste 106, Peoria, AZ 85382 Phone: 623-979-8900 Fax: 480-860-0356
Jason Paladino, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8685 W Union Hills Dr, Peoria, AZ 85382 Phone: 623-486-2331 Fax: 623-486-3136
Adam Reed, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25101 N Lake Pleasant Pkwy Ste B1340, Peoria, AZ 85383 Phone: 623-471-5550 Fax: 623-471-5551
Total Body Zone Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8440 W Thunderbird Rd, Peoria, AZ 85381 Phone: 623-776-9662 Fax: 623-776-2813
Brentom, Llc, Physical Therapist Medicare: Medicare Enrolled Practice Location: 20783 N 83rd Ave Ste 103, Peoria, AZ 85382 Phone: 623-444-8880 Fax: 623-444-9282
Dr. Lindsey K Tellez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9401 W Thunderbird Rd Ste 190, Peoria, AZ 85381 Phone: 623-977-5451

Ethan Anderson, DPT - Medicare Physical Therapist in Peoria, AZ