Active NPI
Andrew E Flicker, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1184826885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0183591
- Practice address
- 245 West 104TH
Apt 7E
New York, NY 10025 - Phone
- (917) 992-8552
- NPI assigned
- Jun 4, 2007
- Last updated
- Oct 29, 2010
- 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 Therapist | 225100000X | 0183591 | NY | Primary |
Addresses
Primary practice location
245 West 104TH
Apt 7E
New York, NY 10025
Mailing address
245 W 104TH St
Apt 7E
New York, NY 10025-4249
Phone (917) 992-8552
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0183591 | NY | MD | Physical Therapist |
| 018359 | NY | MD | Massage Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- New York, NY
- NPI 1962705525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288310400000",
"number": "1184826885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 W 104TH ST",
"address_2": "APT 7E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100254249",
"telephone_number": "917-992-8552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 WEST 104TH",
"address_2": "APT 7E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "917-992-8552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLICKER",
"first_name": "ANDREW",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2010-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0183591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.