Active NPI
Nicholas W Anderson, DPT
- Physical Therapist
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018492
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CP042634T | AZ | MD | Physical Therapist |
| CP048693T | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabsuite Inc | Physical Therapist | Current | Accepting new patients |
| Pin-Point Physical Therapy LLC | Current | Accepting new patients | |
| Balance Solutions Physical Therapy Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Beachwood, OH
- NPI 1326152802
OH, Physical Therapist
-
- Physical Therapy Clinic/Center
- Rocky River, OH
- NPI 1427864792
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
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.