Andrew Hunter Hudson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT42330 Issued in FL

Practice address

190 Southpark Blvd Ste 100
St Augustine, FL 32086-4209

Phone

(904) 824-1478

Fax

(904) 824-8071

NPI assigned

Nov 6, 2024

Sex

Male

Sole proprietor

No

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

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.

• Genesis Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1376114413
  NPD (past)
• Genesis Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Jacksonville, FL
  • NPI 1912947748
  NPD (past)

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1114740222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S VILLA SAN MARCO DR UNIT 103",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864153",
            "telephone_number": "229-406-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SOUTHPARK BLVD STE 100",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864209",
            "telephone_number": "904-824-1478",
            "fax_number": "904-824-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ANDREW",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qixia Huang, M.D.
• Kurt Kinkaide Hubbard, OTR/L
• Laura Anne Hubbell, RDN, LDN, NBC-HWC
• Greta Huber
• Ronald Hucke, DDS
• Catherine Hudson, PHARMD
• Hannah Hudson, CF-SLP
• Brett Huether, DPT, PT
• Michael Shane Huey
• Susan Poland Huffman, P.T.

• Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.