Andrew Halstead, PT, ATC
Individual provider Active NPI Physical Therapist · Philomath, OR
NPI 1033770912 · NPPES record last updated Jun 22, 2019
Key facts
- NPI
- 1033770912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 63290 (OR)
- Practice address
- 732 Main St
Philomath, OR 97370-9725 - Phone
- (541) 929-2255
- NPI assigned
- Jun 22, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Services Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 63290 | OR | Yes |
Addresses
Primary practice location
732 Main St
Philomath, OR 97370-9725
Mailing address
732 Main St
Philomath, OR 97370-9725
Phone (541) 929-2255
Other providers in Philomath, OR
- Lauren A Gray
- Jeanne A. Gregg
- Janda Anita Grigsby
- Sophie Grow
- David R Grube
- Brittney Doreen Hamilton
- Hands-on Healthcare Chiropractic, PC
- Ronnie Louise Hansen
- Healing Motion Physical Therapy, Inc.
- Lorri L Hendon
All providers in Philomath, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.