James Michael Andelin, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305006053 Issued in VA

Practice address

12882 Patrick Henry Hwy
Amelia, VA 23002-3929

Phone

(804) 561-1617

Fax

(804) 561-1618

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

No

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

• Amelia Wellness and Rehabilitation LLC

  • Physical Therapist
  • Amelia, VA
  • NPI 1679522684
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023067006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 GLENRIDGE CT",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395954",
            "telephone_number": "804-598-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12882 PATRICK HENRY HWY",
            "city": "AMELIA",
            "state": "VA",
            "postal_code": "230023929",
            "telephone_number": "804-561-1617",
            "fax_number": "804-561-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDELIN",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Emergency Squad Inc
• Amelia Wellness and Rehabilitation LLC
• Rita M Barrett, NP-C
• Margaret Rodgers Campbell, M.D.
• Commonwealth of Virginia State Board of Health
• Michele Monday Donoghue, FNP
• Jennifer Reed Mueller, DDS

• All providers in Amelia, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.