Active NPI
Andrew Rowerdink
- Physical Therapist
- Lodi, CA
National Provider Identifier
1093635310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310474
- Practice address
- 2000 W Kettleman LN
Lodi, CA 95242-8223 - Phone
- (209) 207-0849
- NPI assigned
- Jul 17, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 310474 | CA | Primary |
Addresses
Primary practice location
2000 W Kettleman LN
Lodi, CA 95242-8223
Mailing address
5222 Cosumnes Dr Apt 125
Stockton, CA 95219-7212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2000 W Kettleman LN
Suite 106
Lodi, CA 95242-4334
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Rehab Physical Therapy Inc | Current | Accepting new patients |
Locations
2000 W Kettleman Ln
Lodi, CA 95242
Phone (209) 207-0849
2000 W Kettleman Ln
Ste 106
Lodi, CA 95242
Phone (209) 207-0849
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Lodi, CA
- NPI 1437553583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1093635310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5222 COSUMNES DR APT 125",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952197212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W KETTLEMAN LN",
"city": "LODI",
"state": "CA",
"postal_code": "952428223",
"telephone_number": "209-207-0849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWERDINK",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-17",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.