Charles H Andros, PHYSICAL THERAPIST A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

004959-1 Issued in NY

Practice address

77 Wilkins Rd
Kinderhook, NY 12106-3100

Phone

(518) 653-3316

NPI assigned

Oct 3, 2017

Last updated

Jun 16, 2018By the provider in NPPES

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

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1154831279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WILKINS RD",
            "city": "KINDERHOOK",
            "state": "NY",
            "postal_code": "121063100",
            "telephone_number": "518-653-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WILKINS RD",
            "city": "KINDERHOOK",
            "state": "NY",
            "postal_code": "121063100",
            "telephone_number": "518-653-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDROS",
        "first_name": "CHARLES",
        "middle_name": "H",
        "credential": "PHYSICAL THERAPIST A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-03",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "004959-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All Together Speech-Language Therapy
• Juan P Ampuero III, M.D.
• Katherine Brennan-McCormick
• Danielle Debye
• Margaret W Engler, LCSW
• Sabine Garland
• Mary Gibson, MSW

• Physical Therapy Assistant in Kinderhook, NY
• Providers in Kinderhook, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.