Individual provider Active NPI

Terry M. Andrus, P.T.

  • Physical Therapist
  • Vineland, NJ
National Provider Identifier
1023182136
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00549700 Issued in NJ
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

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
40QA00549700OtherNJPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Andrus Physiotherapy Physical Therapist CurrentSince Mar 3, 2017 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist Past Accepting new patients
Egg Harbor Township Physical Therapy & Pain Relief LLC Physical Therapist PastSince Feb 1, 2007 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.

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.

Verify at the official NPI Registry.