Dmitriy Andrushchenko, AS
Individual provider Active NPI Physical Therapy Assistant · Federal Way, WA
NPI 1003280322 · NPPES record last updated Nov 24, 2015
Key facts
- NPI
- 1003280322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- P160505759 (WA)
- Practice address
- 33625 27TH PL SW
Federal Way, WA 98023-7711 - Phone
- (253) 569-2957
- NPI assigned
- Nov 24, 2015
- 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
- Credentials
- Associate of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P160505759 | WA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | P160505759 | WA | Yes |
Addresses
Primary practice location
33625 27TH PL SW
Federal Way, WA 98023-7711
Mailing address
33625 27TH PL SW
Federal Way, WA 98023-7711
Phone (253) 569-2957
Other providers in Federal Way, WA
- Sharese Anderson
- Yumi Ando
- Giovanni Andolina I
- Elizabeth Joyce Andrews
- Finnley Rose Andrie
- Yvette Angel
- Angela Fosmark, LLC
- Angeles Happy Hearts Afh LLC
- Angels of America Home Care LLC
- Kelly Dawn Anissipour
All providers in Federal Way, WA · Physical Therapy Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2015. 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.