Andrew Akira Small, MPHTYST, BSCAPP(HMS)

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13998-24 Issued in WI

Practice address

1201 N 6TH St
Milwaukee, WI 53212-3360

Phone

(917) 216-1704

NPI assigned

Sep 24, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1134470677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E ERIE ST UNIT 231",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026103",
            "telephone_number": "917-216-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 6TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123360",
            "telephone_number": "917-216-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "ANDREW",
        "middle_name": "AKIRA",
        "name_prefix": "Mr.",
        "credential": "MPHTYST, BSCAPP(HMS)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62034868",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13998-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen J Slusar, PA
• Kathleen Nicole Slusarczyk
• Catherine Elizabeth Slusher, R.N.
• Tarif Smadi, MD
• Christina Julia Small-Tom, MD
• Chelsey Jo Small, OTR
• Ashley McCoy-Rampson Smallwood, ATR, LPC
• Cara Rosella Smarjesse, WHNP-BC
• Shelia Smart
• Tamira Smart

• Physical Therapist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.