Active NPI
Andrea M Conahan, DPT
- Physical Therapist
- Langhorne, PA
National Provider Identifier
1174830657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020470
- Practice address
- 1262 Wood LN
Suite 102
Langhorne, PA 19047-1769 - Phone
- (215) 741-9315
- Fax
- (215) 741-9317
- NPI assigned
- Sep 7, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT020470 | PA | Primary |
Addresses
Primary practice location
1262 Wood LN
Suite 102
Langhorne, PA 19047-1769
Mailing address
1262 Wood LN
Suite 102
Langhorne, PA 19047-1769
Phone (215) 741-9315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027811250001 | Medicaid | PA |
Other names 1
- Andrea M Brandl
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowers Rehabilitation Services | Physical Therapist | 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 Therapist
- Langhorne, PA
- NPI 1689616146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1174830657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1262 WOOD LN",
"address_2": "SUITE 102",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471769",
"telephone_number": "215-741-9315",
"fax_number": "215-741-9317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1262 WOOD LN",
"address_2": "SUITE 102",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471769",
"telephone_number": "215-741-9315",
"fax_number": "215-741-9317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONAHAN",
"first_name": "ANDREA",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-07",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT020470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027811250001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "BRANDL",
"middle_name": "M",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.