Active NPI
Andrew Charles Klein, PT
- Physical Therapist
- White Plains, NY
National Provider Identifier
1083790448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003778
- Practice address
- 176 Grand St
White Plains, NY 10601-4803 - Phone
- (914) 328-6080
- Fax
- (914) 328-6081
- NPI assigned
- Oct 28, 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 | 003778 | NY | Primary |
Addresses
Primary practice location
176 Grand St
White Plains, NY 10601-4803
Mailing address
174 Grand St
White Plains, NY 10601-4803
Phone (914) 328-8077
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0401995 | Other | NY | CIGNA-ORTHONET TUCKAHOE |
| 0401997 | Other | NY | AETNA-ORTHONET MCLEAN |
| 0401997 | Other | NY | CIGNA-ORTHONET MCLEAN |
| 272438120 | Other | NY | HUDSON HEALTH PLAN-GROUP |
| 0401997 | Other | NY | US FAMILY-ORTHONET MCLEAN |
| 03282455 | Medicaid | NY | |
| 123832P | Other | NY | EMBLEM HEALTH/GHI/HIP/PPO/POS/EPO |
| 2343974 | Other | NY | HUMANA-GROUP |
| PT003778A-05 | Other | NY | HEALTH FIRST -GRP ID: 272438129-001 |
| 272438120 | Other | NY | FPN-GROUP |
| 4412422 | Other | NY | AETNA LOCAL SEUI 1199 |
| 786980 | Other | NY | OPTUMN PHYSICAL THERAPY-GROUP |
| 272438120 | Other | NY | POMCO-GROUP |
| 0401995 | Other | NY | AETNA-ORTHONET TUCKAHOE |
| 0401995 | Other | NY | US FAMILY-ORTHONET TUCKAHOE |
| ASC-616130500 | Other | NY | FECA/OFFICE OF WORKERS COMPENSATION PROGRAMS |
| 01827690 | Other | NY | AMERIGROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003778 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors United, Inc | Current | Accepting new patients |
Locations
1 Bridge St
Ardsley, NY 10502
Phone (914) 693-8782
741 E 233rd St
Bronx, NY 10466
Phone (718) 405-0205
174 Grand St
White Plains, NY 10601
Phone (718) 220-8293
176 Grand St
White Plains, NY 10601
Phone (914) 328-6080
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 1
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.
-
- Special Hospital
- White Plains, NY
- NPI 1508979162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1083790448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 GRAND ST",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014803",
"telephone_number": "914-328-8077",
"fax_number": "914-328-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 GRAND ST",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014803",
"telephone_number": "914-328-6080",
"fax_number": "914-328-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "ANDREW",
"middle_name": "CHARLES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "003778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA-ORTHONET TUCKAHOE",
"identifier": "0401995",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-ORTHONET MCLEAN",
"identifier": "0401997",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA-ORTHONET MCLEAN",
"identifier": "0401997",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUDSON HEALTH PLAN-GROUP",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US FAMILY-ORTHONET MCLEAN",
"identifier": "0401997",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03282455",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMBLEM HEALTH/GHI/HIP/PPO/POS/EPO",
"identifier": "123832P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA-GROUP",
"identifier": "2343974",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST -GRP ID: 272438129-001",
"identifier": "PT003778A-05",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FPN-GROUP",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA LOCAL SEUI 1199",
"identifier": "4412422",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUMN PHYSICAL THERAPY-GROUP",
"identifier": "786980",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POMCO-GROUP",
"identifier": "272438120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-ORTHONET TUCKAHOE",
"identifier": "0401995",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US FAMILY-ORTHONET TUCKAHOE",
"identifier": "0401995",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FECA/OFFICE OF WORKERS COMPENSATION PROGRAMS",
"identifier": "ASC-616130500",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01827690",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.