Dr Jody Carl Andersen, ATC, PT - Physical Therapist in Tampa, FL

Dr Jody Carl Andersen, ATC, PT is a Physical Therapist - Sports based in Tampa, Florida. Dr Jody Carl Andersen is licensed to practice in Florida (license number PT 20698) and his current practice location is 401 W Kennedy Blvd, Box 30f, Tampa, Florida. He can be reached at his office (for appointments etc.) via phone at (813) 257-3162.

NPI number for Dr Jody Carl Andersen is 1144293408 and his current mailing address is 401 W Kennedy Blvd, Box 30f, Tampa, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144293408.

Contact Information

Dr Jody Carl Andersen, ATC, PT
401 W Kennedy Blvd, Box 30f,
Tampa, FL 33606-1450
(813) 257-3162
(813) 258-7482

Map and Direction




Healthcare Provider's Profile

Full NameDr Jody Carl Andersen
GenderMale
SpecialityPhysical Therapist - Sports
Location401 W Kennedy Blvd, Tampa, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144293408
  • Provider Enumeration Date: 02/08/2006
  • Last Update Date: 01/20/2014

Medical Identifiers

Medical identifiers for Dr Jody Carl Andersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144293408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251S0007XPhysical Therapist - Sports PT 20698 (Florida)Primary
2255A2300XSpecialist/technologist - Athletic Trainer AL 1654 (Florida)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jody Carl Andersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jody Carl Andersen, ATC, PT
401 W Kennedy Blvd, Box 30f,
Tampa, FL 33606-1450

Ph: (813) 257-3162
Dr Jody Carl Andersen, ATC, PT
401 W Kennedy Blvd, Box 30f,
Tampa, FL 33606-1450

Ph: (813) 257-3162

Reviews and Comments


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