Individual provider Active NPI

Andrew P Creal, P.T.

  • Physical Therapist
  • Georgetown, TX
National Provider Identifier
1013064559
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1156399 Issued in TX
Practice address
4879 Williams Dr Ste 103
Georgetown, TX 78633-2436
Phone
(512) 843-0118
Fax
(512) 843-0108
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 1156399 TX Primary
Physical Therapist 225100000X 2434 NE

Addresses

Primary practice location

4879 Williams Dr Ste 103
Georgetown, TX 78633-2436

Mailing address

6940 Van Dorn St Ste 103
Lincoln, NE 68506-2858
Phone (402) 483-4709

Other identifiers 2

IdentifierTypeStateIssuer
2838007OtherNEMEDICARE
2D2536OtherTXMEDICARE TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041020000597 TX Practitioner - Physical Therapist in Private Practice 3375504640 Reassigns benefits to 1 organization
I20060505000671 NE Practitioner - Physical Therapist in Private Practice 3375504640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4881 Williams Dr
Suite 103
Georgetown, TX 78633-2438
Phone (402) 802-9157

6940 Van Dorn St
Suite 103
Lincoln, NE 68506-2858
Phone (402) 483-4709

Merit-based Incentive Payment System (MIPS)

Final score
93.53 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
78.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Oct 1, 2015 Accepting new patients
Affiliated Physical Therapy and Rehabilitation Clinic Inc Past Accepting new patients
Lincoln Physical Therapy and Sports Rehab LLC Physical Therapist Past Accepting new patients
Coddington Physical Therapy, LLC Physical Therapist PastSince Oct 22, 2012 Accepting new patients

Locations

2222 S 16th St
Ste 220
Lincoln, NE 68502
Phone (402) 483-8898

1501 Pine Lake Rd
Ste 20
Lincoln, NE 68512
Phone (402) 421-2700

4451 N 26th St
Ste 1000
Lincoln, NE 68521
Phone (402) 476-2600

6940 Van Dorn St
Ste 103
Lincoln, NE 68506
Phone (402) 483-4709

4881 Williams Dr
Ste 103
Georgetown, TX 78633
Phone (402) 802-9157

4879 Williams Dr
Ste 103
Georgetown, TX 78633
Phone (402) 802-9157

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1013064559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 VAN DORN ST STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062858",
            "telephone_number": "402-483-4709",
            "fax_number": "402-483-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 WILLIAMS DR STE 103",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332436",
            "telephone_number": "512-843-0118",
            "fax_number": "512-843-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAL",
        "first_name": "ANDREW",
        "middle_name": "P",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1156399",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2838007",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TEXAS",
            "identifier": "2D2536",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.