Jesse L Anderson, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070024928 Issued in IL

Practice address

711 W Maxwell St
Chicago, IL 60607-5016

Phone

(312) 355-2626

NPI assigned

Sep 30, 2025

Last updated

Sep 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Board of Trustees of the University of Illinois

  dba Occupational Health Service Institute (OHSI)

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1255205662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 W WOLFRAM ST APT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575163",
            "telephone_number": "859-640-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W MAXWELL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075016",
            "telephone_number": "312-355-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JESSE",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070024928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Renee Anderson, PHD, LCSW
• James W Anderson, PHD
• Jasmine J Anderson
• Jaymine Anderson, AGPCNP
• Jenaya Anderson
• Jill Anderson
• Joann Edith Anderson, PTA
• Joel R Anderson, DPM
• John Prentice Anderson, PH.D.
• John William Anderson, D.C.

• Orthopedic Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.