Individual provider Active NPI

Andrea Emese Ecsedy, P.T.

  • Neurology Physical Therapist
  • Redding, CA
National Provider Identifier
1013099365
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT12282 Issued in CA
Practice address
3278 Bechelli LN
Redding, CA 96002-2005
Phone
(530) 223-9474
Fax
(530) 223-6937
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X PT12282 CA Primary

Addresses

Primary practice location

3278 Bechelli LN
Redding, CA 96002-2005

Mailing address

3278 Bechelli LN
Redding, CA 96002-2005
Phone (530) 223-9474

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
PT12282CAMDNeurology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1013099365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3278 BECHELLI LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022005",
            "telephone_number": "530-223-9474",
            "fax_number": "530-223-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3278 BECHELLI LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022005",
            "telephone_number": "530-223-9474",
            "fax_number": "530-223-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECSEDY",
        "first_name": "ANDREA",
        "middle_name": "EMESE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT12282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.