Individual provider Active NPI

Kammar J Andries, DPT

  • Orthopedic Physical Therapist
  • Jamaica, NY
National Provider Identifier
1003948381
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
025232 Issued in NY
Practice address
8906 146TH St
Apt # 2B
Jamaica, NY 11435-3642
Phone
(917) 854-1902
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22125 FL
Orthopedic Physical Therapist 2251X0800X 025232 NY Primary

Addresses

Primary practice location

8906 146TH St
Apt # 2B
Jamaica, NY 11435-3642

Mailing address

8906 146TH St
Apt # 2B
Jamaica, NY 11435-3642
Phone (917) 854-1902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22125FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1003948381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 146TH ST",
            "address_2": "APT # 2B",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353642",
            "telephone_number": "917-854-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 146TH ST",
            "address_2": "APT # 2B",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353642",
            "telephone_number": "917-854-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIES",
        "first_name": "KAMMAR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "22125",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "025232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.