Nathan Anderson
Individual provider Active NPI Physical Therapist · Darien, CT
NPI 1508745100 · NPPES record last updated Aug 28, 2025
Key facts
- NPI
- 1508745100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 349 Boston Post Rd
Darien, CT 06820-3606 - Phone
- (475) 209-9420
- NPI assigned
- Aug 28, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sportsmed PT LLC
Practice addresses (Care Compare)
2040 Millburn Ave
Maplewood, NJ 07040-3716
Phone (862) 800-6080
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260114000276 | NJ | Practitioner - Physical Therapist in Private Practice | 8820574403 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolution Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Sportsmed PT LLC | Physical Therapist | Current |
Accepting new patients |
Locations
349 Post Rd
Darien, CT 06820
Phone (475) 209-9420
266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798
2040 Millburn Ave
Ste 405
Maplewood, NJ 07040
Phone (973) 243-2666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
349 Boston Post Rd
Darien, CT 06820-3606
Mailing address
38 Edgemere Rd
Livingston, NJ 07039-2807
Other providers in Darien, CT
- Nathalie Alabre
- Alan B Rosenthal,DMD,PC
- Rachel Hannah Albright
- Lauren Alcan
- Katherine Allen
- Andre Burey MD PLLC
- Anya Kishinevsky MD LLC
- Erika Arconti-Galassi
- Anastasia Arevalo
- Arise Counseling Limited Liability Company
All providers in Darien, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.