Individual provider Active NPI

Nicholas W Anderson, DPT

  • Physical Therapist
  • Beachwood, OH
National Provider Identifier
1699351981
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018492 Issued in OH
Practice address
23811 Chagrin Blvd Ste 120
Beachwood, OH 44122-5555
Phone
(216) 682-0413
Fax
(316) 682-0417
NPI assigned
Mar 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP042634T AZ
Physical Therapist 225100000X CP048693T CO
Physical Therapist 225100000X PT018492 OH Primary

Addresses

Primary practice location

23811 Chagrin Blvd Ste 120
Beachwood, OH 44122-5555

Mailing address

23811 Chagrin Blvd Ste 120
Beachwood, OH 44122-5555
Phone (216) 682-0413

Other practice location 1

1580 Logan St., Ste 600 PMB 11
Denver, CO 80203
Phone (928) 296-9285

Other practice location 2

3623 Crossings Dr Ste 282
Prescott, AZ 86305-7101
Phone (928) 296-9285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210510000965 OH Practitioner - Physical Therapist in Private Practice 3072921808 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP042634TAZMDPhysical Therapist
CP048693TCOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabsuite Inc Physical Therapist CurrentSince Feb 11, 2025 Accepting new patients
Pin-Point Physical Therapy LLC Current Accepting new patients
Balance Solutions Physical Therapy Inc Physical Therapist CurrentSince Apr 10, 2023 Accepting new patients

Locations

3623 Crossings Dr
Ste 282
Prescott, AZ 86305
Phone (928) 296-9285

1580 N Logan St
Ste 600
Denver, CO 80203
Phone (928) 296-9285

23175 Commerce Park
Beachwood, OH 44122
Phone (216) 691-9602

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabsuite Inc 29 clinicians

Practice addresses (Care Compare)

Columbus, OH 43235
Phone (928) 296-9285

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1699351981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD STE 120",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225555",
            "telephone_number": "216-682-0413",
            "fax_number": "216-682-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD STE 120",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225555",
            "telephone_number": "216-682-0413",
            "fax_number": "316-682-0417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 Logan St., Ste 600 PMB 11",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80203",
            "country_code": "US",
            "telephone_number": "928-296-9285",
            "fax_number": "928-441-8421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3623 Crossings Dr Ste 282",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863057101",
            "country_code": "US",
            "telephone_number": "928-296-9285",
            "fax_number": "928-441-8421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NICHOLAS",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP042634T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP048693T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.