Doctor profile · Federal record
Dr. Ethan Anderson, DPT
Physical Therapist (CMS: Physical Therapist in Private Practice) · Sports Physical Therapist · Orthopedic Physical Therapist · Peoria, AZ
- NPI 1063966554
- Accepts Medicare
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7707 W Deer Valley RD, Suite 100
Peoria, AZ 853822101
(623) 376-9100
fax (623) 376-9141 - Mailing address
-
15410 S Mountain Pkwy, Suite 112
Phoenix, AZ 850446691
Credentials & registration
- NPI registered
- August 2016 — 10 yrs on file
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Arizona #12383
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063966554. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,509
Distinct HCPCS
9
Medicare allowed
$110,982
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97530 |
Therapy procedure using functional activities | 1,064 | 77 | $32 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 931 | 79 | $24 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 911 | 79 | $21 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 825 | 74 | $20 | |
G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 509 | 52 | $9 | |
97164 |
Re-evaluation for physical therapy, typically 20 minutes | 103 | 48 | $69 | |
97116 |
Therapy procedure for walking training, each 15 minutes | 77 | 16 | $21 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 51 | 49 | $98 | |
97535 |
Training for self-care or home management, each 15 minutes | 38 | 34 | $24 |
In context: peer comparison
Among 26 peers in Peoria Physical Therapist, average services per provider: 455. This provider delivers 9.9× the peer median.Frequently asked questions
What is Dr. Ethan Anderson's medical specialty?
Dr. Ethan Anderson practices Physical Therapist in Peoria, AZ.
Where does Dr. Ethan Anderson practice?
Dr. Ethan Anderson practices at 7707 W Deer Valley RD, Peoria, AZ 853822101. Office phone: 6233769100.
What is Dr. Ethan Anderson's NPI?
Dr. Ethan Anderson's National Provider Identifier (NPI) is 1063966554, issued by NPPES.
Does Dr. Ethan Anderson accept Medicare assignment?
Yes. Dr. Ethan Anderson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ethan Anderson commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110). Source: CMS Medicare Physician & Other Practitioners file.