Individual provider Active NPI

Andrea L Santman, PT

  • Pediatric Physical Therapist
  • Rockville, MD
National Provider Identifier
1205077815
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
16355 Issued in MD
Practice address
4990 Boiling Brook Pkwy
Rockville, MD 20852-2300
Phone
(301) 816-9500
Fax
(186) 622-7088
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 16355 MD Primary

Addresses

Primary practice location

4990 Boiling Brook Pkwy
Rockville, MD 20852-2300

Mailing address

7731 Mary Cassatt Dr
Potomac, MD 20854-3226
Phone (301) 816-9500

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

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1205077815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7731 MARY CASSATT DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543226",
            "telephone_number": "301-816-9500",
            "fax_number": "186-622-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 BOILING BROOK PKWY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522300",
            "telephone_number": "301-816-9500",
            "fax_number": "186-622-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTMAN",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "16355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.