Michael Anderson
Individual provider Active NPI Physical Therapist · Coppell, TX
NPI 1811521925 · NPPES record last updated Jan 19, 2026
Key facts
- NPI
- 1811521925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 034537 (AZ)
- Practice address
- 8840 Cypress Waters Blvd
Coppell, TX 75019-4594 - Phone
- (507) 514-8150
- NPI assigned
- Feb 27, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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
- BHSM Rehabilitation LLC
Practice addresses (Care Compare)
1828 E Florence Blvd
Suite 102
Casa Grande, AZ 85122-4783
Phone (520) 381-6300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260210001130 | AZ | Practitioner - Physical Therapist in Private Practice | 0840779807 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034537 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current |
Accepting new patients | |
| BHSM Rehabilitation, LLC | Current |
Accepting new patients |
Locations
1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300
3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404
2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 3562 | MN | |
| Physical Therapist | 225100000X | 034537 | AZ | Yes |
Addresses
Primary practice location
8840 Cypress Waters Blvd
Coppell, TX 75019-4594
Mailing address
PO Box 580
Lake Crystal, MN 56055-0580
Phone (507) 514-8150
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2026. 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.