Charles H Andros, PHYSICAL THERAPIST A
Individual provider Active NPI Physical Therapy Assistant · Kinderhook, NY
NPI 1154831279 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1154831279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 004959-1 (NY)
- Practice address
- 77 Wilkins Rd
Kinderhook, NY 12106-3100 - Phone
- (518) 653-3316
- NPI assigned
- Oct 3, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004959-1 | NY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 004959-1 | NY | Yes |
Addresses
Primary practice location
77 Wilkins Rd
Kinderhook, NY 12106-3100
Mailing address
77 Wilkins Rd
Kinderhook, NY 12106-3100
Phone (518) 653-3316
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004959-1 | Other | NY | PT LICENSE |
Other providers in Kinderhook, NY
- All Together Speech-Language Therapy
- Juan P Ampuero III
- Katherine Brennan-McCormick
- Danielle Debye
- Margaret W Engler
- Sabine Garland
- Mary Gibson
All providers in Kinderhook, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.