Active NPI
Andrew E Hawthorne, PTA
- Physical Therapy Assistant
- Tarrytown, NY
National Provider Identifier
1174716872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00128600
- Practice address
- 220 White Plains Rd
Suite 550
Tarrytown, NY 10591-5837 - Phone
- (914) 531-9020
- NPI assigned
- Aug 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 40QB00128600 | NJ | Primary |
Addresses
Primary practice location
220 White Plains Rd
Suite 550
Tarrytown, NY 10591-5837
Mailing address
202 Kings LN
Williamstown, NJ 08094-2606
Phone (609) 561-8368
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QB00128600 | NJ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188086400000",
"number": "1174716872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 KINGS LN",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080942606",
"telephone_number": "609-561-8368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 WHITE PLAINS RD",
"address_2": "SUITE 550",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915837",
"telephone_number": "914-531-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWTHORNE",
"first_name": "ANDREW",
"middle_name": "E",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-26",
"last_updated": "2007-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00128600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.