KEANU ANDICO PT
NPI 1376212704
Physical Therapy Assistant in Riverside, CA

Active since September 09, 2021Accepts Medicare Assignment
6177 RIVER CREST DR STE A, RIVERSIDE, CA 92507(951) 653-4480(951) 653-5051 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1376212704
Entity TypeIndividualMale
Primary Taxonomy225200000X
Provider Legal NameKEANU ANDICOCredential: PT
Location Address6177 RIVER CREST DR STE ARiverside, CA 92507-0728
Mailing Address6177 River Crest Dr Ste ARiverside, CA 92507-0728 · (951) 653-4480 · Fax (951) 653-5051
Fax(951) 653-5051
Sole ProprietorNo
Medical School CMSUniv Of Calif, San Francisco School Of DentistryGraduated 2021
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
NPI 1376212704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
6177 RIVER CREST DR STE A, Riverside, CA 92507

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

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.

PECOS PAC ID1759779762
PECOS Enrollment IDI20211025001602

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 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.
1,647 services250 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.
1,322 services235 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.
888 services202 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.
500 services135 patients
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.
372 services36 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
203 services26 patients

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.

Physical Therapist
6177 RIVER CREST DR STE A
RIVERSIDE, CA 92507
Physical Medicine & Rehabilitation
6177 RIVER CREST DR STE A
RIVERSIDE, CA 92507
Occupational Therapist
6177 RIVER CREST DR STE A
RIVERSIDE, CA 92507
Speech-Language Pathologist
6177 RIVER CREST DR STE A
RIVERSIDE, CA 92507
Occupational Therapist
6177 RIVER CREST DR STE A
RIVERSIDE, CA 92507
Occupational Therapist
6177 RIVER CREST DR STE A
RIVERSIDE, CA 92507
Physical Therapist
6177 RIVER CREST DR STE A
RIVERSIDE, CA 92507
Physical Medicine & Rehabilitation
6177 RIVER CREST DR STE A
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.

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 4 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.