Andrew Douwes

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29832 Issued in MD

Practice address

412 Malcolm Dr Ste 200
Westminster, MD 21157-6174

Phone

(667) 314-6086

NPI assigned

Jul 25, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1104507953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30349 GREEN VALLEY RUN",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199683428",
            "telephone_number": "301-676-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MALCOLM DR STE 200",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576174",
            "telephone_number": "667-314-6086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Loveton Cir Ste G100",
            "address_purpose": "LOCATION",
            "city": "Sparks Glencoe",
            "state": "MD",
            "postal_code": "211529273",
            "country_code": "US",
            "telephone_number": "410-472-2672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUWES",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Westminster, MD
• Providers in Westminster, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.