ETHAN ANDERSON DPT
NPI 1063966554
Physical Therapist in Peoria, AZ

Active since August 12, 2016Accepts Medicare Assignment
7707 W DEER VALLEY RD, SUITE 100, PEORIA, AZ 85382(623) 376-9100(623) 376-9141 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Anderson Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN ANDERSON DPT (NPI 1063966554) is an individual physical therapist in Peoria, Arizona, licensed in Arizona (12383) and active in the NPI registry since August 2016. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1063966554
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameETHAN ANDERSONCredential: DPT
Location Address7707 W DEER VALLEY RD, SUITE 100Peoria, AZ 85382-2101
Mailing Address15410 S Mountain Pkwy, Suite 112Phoenix, AZ 85044-6691 · (480) 706-1161 · Fax (480) 706-7997
Fax(623) 376-9141
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 12, 2016
NPI 1063966554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in AZ · 12383
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
7707 W DEER VALLEY RD, Peoria, AZ 85382

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ethan Anderson Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476849662
PECOS Enrollment IDI20160914002839

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,891 services77 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
1,024 services75 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
989 services76 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
666 services68 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
344 services45 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
59 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85382 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
90%101 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
7707 W DEER VALLEY RD, SUITE 105
PEORIA, AZ 85382
Physical Therapist
7707 W DEER VALLEY RD, SUITE 100
PEORIA, AZ 85382
Physical Therapist
7707 W DEER VALLEY RD, STE: 105
PEORIA, AZ 85382
Physician Assistant
7707 W DEER VALLEY RD, 115
PEORIA, AZ 85382
Physical Therapist
7707 W DEER VALLEY RD, SUITE 105
PEORIA, AZ 85382
Physical Therapist
7707 W DEER VALLEY RD, STE: 100
PEORIA, AZ 85382
General Practice
7707 W DEER VALLEY RD, 115
PEORIA, AZ 85382
Physical Therapy Assistant
7707 W DEER VALLEY RD, SUITE 100
PEORIA, AZ 85382

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Anderson's NPI number?

The NPI number for Ethan Anderson is 1063966554. It was assigned to this individual provider in the NPPES registry on August 12, 2016.

Where is Ethan Anderson located?

Ethan Anderson practices at 7707 W Deer Valley Rd Suite 100, Peoria, AZ 85382. The listed phone number is (623) 376-9100.

What is Ethan Anderson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ethan Anderson enrolled in Medicare?

Yes. Ethan Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ethan Anderson accept?

Health plans from Ambetter from Arizona Complete Health and Imperial Insurance Companies, Inc. list Ethan Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Anderson was last updated on August 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.