Active NPI
Andrew Anderson, DPT
- Physical Therapist
- Charleston, WV
National Provider Identifier
1487561056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004004
- Practice address
- 400 Tracy Way Ste 100
Charleston, WV 25311-1280 - Phone
- (304) 720-0205
- NPI assigned
- Aug 27, 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 | 004004 | WV | Primary |
Addresses
Primary practice location
400 Tracy Way Ste 100
Charleston, WV 25311-1280
Mailing address
400 Tracy Way Ste 100
Charleston, WV 25311-1280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1487561056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 TRACY WAY STE 100",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253111280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TRACY WAY STE 100",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253111280",
"telephone_number": "304-720-0205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ANDREW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "004004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.