Individual provider Active NPI

Andrew Charles Klein, PT

  • Physical Therapist
  • White Plains, NY
National Provider Identifier
1083790448
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003778 Issued in NY
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

Updated by the provider on Apr 13, 2016

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 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

IdentifierTypeStateIssuer
0401995OtherNYCIGNA-ORTHONET TUCKAHOE
0401997OtherNYAETNA-ORTHONET MCLEAN
0401997OtherNYCIGNA-ORTHONET MCLEAN
272438120OtherNYHUDSON HEALTH PLAN-GROUP
0401997OtherNYUS FAMILY-ORTHONET MCLEAN
03282455MedicaidNY
123832POtherNYEMBLEM HEALTH/GHI/HIP/PPO/POS/EPO
2343974OtherNYHUMANA-GROUP
PT003778A-05OtherNYHEALTH FIRST -GRP ID: 272438129-001
272438120OtherNYFPN-GROUP
4412422OtherNYAETNA LOCAL SEUI 1199
786980OtherNYOPTUMN PHYSICAL THERAPY-GROUP
272438120OtherNYPOMCO-GROUP
0401995OtherNYAETNA-ORTHONET TUCKAHOE
0401995OtherNYUS FAMILY-ORTHONET TUCKAHOE
ASC-616130500OtherNYFECA/OFFICE OF WORKERS COMPENSATION PROGRAMS
01827690OtherNYAMERIGROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070119000097 NY Practitioner - Physical Therapist in Private Practice 9931100815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003778NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors United, Inc CurrentSince Jan 5, 2015 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.

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.

Verify at the official NPI Registry.