Andrea L Tait, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

021124 Issued in NY

Practice address

953 High St
Victor, NY 14564-1168

Phone

(585) 924-3252

NPI assigned

Oct 19, 2011

Sex

Female

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

Practice roles

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.

• Victor Central School District

  • Local Education Agency (LEA)
  • Victor, NY
  • NPI 1053478446
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1164707378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 LAMBERT ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649254",
            "telephone_number": "585-944-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 HIGH ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641168",
            "telephone_number": "585-924-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "021124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas J Sutton
• Shana Swain
• Wendy Swain
• Bethanie S. Swartz, M.S., OTR/L
• Andrea Szymanski
• Joseph Anthony Talarico, MD
• Danielle Elizabeth Tallo
• Kathryn Tarricone, DPT
• Samantha Shelby Taylor
• The Frederick Ferris Thompson Hospital

• Pediatric Physical Therapist in Victor, NY
• Providers in Victor, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.