Brian Andrews

Individual provider Active NPI Physical Therapy Assistant · Lake City, FL

NPI 1114305240 · NPPES record last updated May 8, 2015

Key facts

NPI
1114305240
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA25433 (FL)
Practice address
146 SW Orthopedic CT
Lake City, FL 32024-0672
Phone
(386) 755-9215
NPI assigned
May 8, 2015
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA25433FLMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA25433 FL Yes

Addresses

Primary practice location

146 SW Orthopedic CT
Lake City, FL 32024-0672

Mailing address

4500 W Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 336-6000

Other providers in Lake City, FL

All providers in Lake City, FL · Physical Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.