Andy Denestan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA25402 Issued in FL

Practice address

7200 W Commercial Blvd
Suite 203
Lauderhill, FL 33319-2148

Phone

(754) 300-9039

NPI assigned

Apr 17, 2020

Sex

Female

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

Practice roles

Locations

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.

• Procare Medical Management LLC

  • Case Management Agency
  • Lauderhill, FL
  • NPI 1932787629
  NPD

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1114547437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W COMMERCIAL BLVD STE 203",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192148",
            "telephone_number": "754-300-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 W COMMERCIAL BLVD",
            "address_2": "SUITE 203",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192148",
            "telephone_number": "754-300-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENESTAN",
        "first_name": "ANDY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Delez, PT
• Veronica Delgado, LCSW
• Selma C Delima, M.D.
• Demand Diagnostics Lab
• Danielle Demarest
• Gary Denestan
• Corinne Dennis
• Dental Group Associates, PA
• Dental Smiles of Lauderhill
• Dependable Health Choice

• Physical Therapy Assistant in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.