Joseph Mark Andrews, PTA

Individual provider Active NPI Physical Therapy Assistant · Newport, OR

NPI 1134592876 · NPPES record last updated Nov 3, 2015

Key facts

NPI
1134592876
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
09259 (OR)
Practice address
1010 SW Coast Hwy
Suite 102
Newport, OR 97365-5288
Phone
(541) 265-4252
Fax
(541) 265-8914
NPI assigned
Nov 3, 2015
Sex
Male
Sole proprietor
Yes

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
09259ORMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 09259 OR Yes

Addresses

Primary practice location

1010 SW Coast Hwy
Suite 102
Newport, OR 97365-5288

Mailing address

1101 NW Pacific Way
Waldport, OR 97394-9504
Phone (541) 563-7544

Other providers in Newport, OR

All providers in Newport, OR · Physical Therapy Assistant in Oregon

Sources for this page

Verify at the official NPI Registry.