Aidan Anderson
Individual provider Active NPI Physical Therapist · Kenosha, WI
NPI 1861317331 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1861317331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 17921-24 (WI)
- Practice address
- 3701 80TH St
Kenosha, WI 53142-4950 - Phone
- (262) 697-1730
- NPI assigned
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17921-24 | WI | Yes |
Addresses
Primary practice location
3701 80TH St
Kenosha, WI 53142-4950
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Other names
- Dan Anderson
Other providers in Kenosha, WI
- Amtul R Ahmad MD SC
- An Inspired Care LLC
- Ancient Healing Acupuncture and Herbs LLC
- Stacey L Andersen
- Rochelle Anderson-Moore
- Amy B Anderson
- Avia Anderson
- Hannah Anderson
- Lindsay Anderson
- Shelby L Anderson
All providers in Kenosha, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.