Doctor profile · Federal record

Dr. LYLE ANDERSEN, PT

Physical Therapist (CMS: PHYSICAL THERAPIST IN PRIVATE PRACTICE) · MODESTO, CA

  • NPI 1265413918
  • Accepts Medicare
  • 57 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1917 COFFEE RD
MODESTO, CA 953552704
(209) 549-4626
fax (209) 549-4625

Credentials & registration

NPPES · NUCC
NPI registered
November 2005 — 21 yrs on file
Profile last updated
April 17, 2017
Year of graduation
1969 — 57 yrs since
Specialty taxonomy
225100000X — NUCC code
State license (1)
California #PT5278
Medicaid
CA #00PT52780

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1265413918. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
921
Distinct HCPCS
3
Medicare allowed
$26,046
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 705 47 $25
97140 Therapy procedure using manual technique, each 15 minutes 169 39 $21
97162 Evaluation for physical therapy, typically 30 minutes 47 47 $103

In context: peer comparison

Among 15 peers in this city , average services per provider: 705. This provider delivers 1.3× the peer median.