KEANU ANDICO PT
NPI 1376212704
Physical Therapy Assistant in Riverside, CA
About Keanu Andico Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEANU ANDICO PT (NPI 1376212704) is an individual physical therapy assistant in Riverside, California and active in the NPI registry since September 2021. He is a graduate of Univ Of Calif, San Francisco School Of Dentistry (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keanu Andico Pt 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.
Medicare Billing Reassignments
3Medicare enrollment records show Keanu Andico reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverside, CA 92507
- Reassigned Medicare billing, California enrollment
- 34 clinicians in this Medicare group
Upland, CA 91786
- Reassigned Medicare billing, California enrollment
- 10 clinicians in this Medicare group
Huntington Beach, CA 92648
- Reassigned Medicare billing, California enrollment
- 43 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92507
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 Keanu Andico's NPI number?
The NPI number for Keanu Andico is 1376212704. It was assigned to this individual provider in the NPPES registry on September 9, 2021.
Where is Keanu Andico located?
Keanu Andico practices at 6177 River Crest Dr Ste A, Riverside, CA 92507. The listed phone number is (951) 653-4480.
What is Keanu Andico's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
Is Keanu Andico enrolled in Medicare?
Yes. Keanu Andico 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.
Which organizations bill Medicare for Keanu Andico's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keanu Andico reassigns Medicare benefits to 3 organizations: West Coast Spine Restoration Center, Inc (Riverside, CA), Rozina And Smith Physical Therapy Inc. (Upland, CA) and Mobile Therapy Specialists Inc (Huntington Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keanu Andico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Keanu Andico was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.