Active NPI
Terry M. Andrus, P.T.
- Physical Therapist
- Vineland, NJ
National Provider Identifier
1023182136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00549700
- Practice address
- 258 N Main Rd Unit B
Vineland, NJ 08360-8235 - Phone
- (856) 362-5230
- Fax
- (856) 362-5844
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00549700 | NJ | Primary |
Addresses
Primary practice location
258 N Main Rd Unit B
Vineland, NJ 08360-8235
Mailing address
258 N Main Rd Unit B
Vineland, NJ 08360-8235
Phone (856) 362-5230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40QA00549700 | Other | NJ | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070430000310 | NJ | Practitioner - Physical Therapist in Private Practice | 2668578154 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
258 N Main Rd
Unit B
Vineland, NJ 08360-8235
Phone (856) 362-5230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrus Physiotherapy | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network, Inc. | Physical Therapist | Past | Accepting new patients |
| Egg Harbor Township Physical Therapy & Pain Relief LLC | Physical Therapist | Past | Accepting new patients |
Locations
344 N Route 73
#B
Berlin, NJ 08009
Phone (856) 306-8466
258 N Main Rd
Unit B
Vineland, NJ 08360
Phone (856) 362-5230
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Egg Harbor Township, NJ
- NPI 1679619258
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1023182136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 N MAIN RD UNIT B",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083608235",
"telephone_number": "856-362-5230",
"fax_number": "856-362-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 N MAIN RD UNIT B",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083608235",
"telephone_number": "856-362-5230",
"fax_number": "856-362-5844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRUS",
"first_name": "TERRY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00549700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "40QA00549700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.