Active NPI
Andrea N Dexter, MPT
- Physical Therapist
- Bowling Green, KY
National Provider Identifier
1083666044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004206
- Practice address
- 1777 Ashley Cir
Bowling Green, KY 42104-3339 - Phone
- (270) 793-0395
- Fax
- (270) 793-0765
- NPI assigned
- May 17, 2006
- Last updated
- Sep 6, 2007
- Sex
- Female
- 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 | PT004206 | KY | Primary |
Addresses
Primary practice location
1777 Ashley Cir
Bowling Green, KY 42104-3339
Mailing address
1777 Ashley Cir
Bowling Green, KY 42104-3339
Phone (270) 793-0395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT004206 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schafer Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Rehabilitation Services PSC | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Solutions, PSC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Leitchfield, KY
- NPI 1366484701
-
dba Physical Therapy Plus
- Physical Therapist
- Louisville, KY
- NPI 1346293065
-
- Physical Therapist
- Brownsville, KY
- NPI 1013960731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1083666044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 ASHLEY CIR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043339",
"telephone_number": "270-793-0395",
"fax_number": "270-793-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 ASHLEY CIR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043339",
"telephone_number": "270-793-0395",
"fax_number": "270-793-0765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEXTER",
"first_name": "ANDREA",
"middle_name": "N",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT004206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.