Active NPI
Andrea N. Herbert, PT
- Specialist
- Mobile, AL
National Provider Identifier
1154448165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PTH5702
- Practice address
- 878 Hillcrest Rd
Mobile, AL 36695-3910 - Phone
- (251) 344-4212
- Fax
- (251) 344-4302
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 16545 | FL | |
| Specialist | 174400000X | PTH5702 | AL | Primary |
Addresses
Primary practice location
878 Hillcrest Rd
Mobile, AL 36695-3910
Mailing address
878 Hillcrest Rd
Mobile, AL 36695-3910
Phone (251) 344-4212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y909Y | Other | FL | BCBS OF FLORIDA |
| Y906D | Other | FL | BCBS OF FLORIDA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 16545 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Panama City Beach, FL
- NPI 1679690655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1154448165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "878 HILLCREST RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366953910",
"telephone_number": "251-344-4212",
"fax_number": "251-344-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "878 HILLCREST RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366953910",
"telephone_number": "251-344-4212",
"fax_number": "251-344-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERT",
"first_name": "ANDREA",
"middle_name": "N.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 16545",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "PTH5702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "Y909Y",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "Y906D",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.