Individual provider Active NPI

Andrea Bristol, PT, DPT, CSCS

  • Physical Therapist
  • Wellesley, MA
National Provider Identifier
1033638507
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23180 Issued in MA
Practice address
62 Walnut St
Wellesley, MA 02481-2113
Phone
(781) 235-5275
NPI assigned
Sep 15, 2017
Last updated
May 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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 23180 MA Primary

Addresses

Primary practice location

62 Walnut St
Wellesley, MA 02481-2113

Mailing address

62 Walnut St
Wellesley, MA 02481-2113
Phone (781) 235-5275

Other names 1

  • Andrea Arabadjis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171102002580 MA Practitioner - Physical Therapist in Private Practice 0244596518 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Mechanics Physical Therapy LLCGroup PAC ID 8729311188, 6 clinicians

Practice addresses (Care Compare)

341 Washington St
Norwell, MA 02061-1903
Phone (617) 750-2677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23180MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Sports Therapy, LLC Physical Therapist CurrentSince Oct 30, 2017 Accepting new patients
Fox Rehab Ma LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Body Mechanics Physical Therapy LLC Physical Therapist CurrentSince Oct 9, 2023 Accepting new patients
Silver Fern Practice, LLC Physical Therapist PastSince Sep 26, 2017 Accepting new patients

Locations

341 Washington St
Norwell, MA 02061
Phone (339) 214-3164

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577

60 Walnut St
Wellesley Hills, MA 02481
Phone (617) 531-9503

62 Walnut St
Wellesley Hills, MA 02481
Phone (781) 235-5275

Organizations & group practices 4

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1033638507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WALNUT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812113",
            "telephone_number": "781-235-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WALNUT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812113",
            "telephone_number": "781-235-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "ANDREA",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ARABADJIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.