Individual provider Active NPI

Andrea Michelle Brandenburgh, PT, DPT

  • Physical Therapist
  • Flower Mound, TX
National Provider Identifier
1225636350
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1161070 Issued in TX
Practice address
1241 Cross Timbers Rd
Flower Mound, TX 75028-1272
Phone
(972) 691-3131
Fax
(972) 691-3151
NPI assigned
Oct 12, 2020
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1161070 TX Primary

Addresses

Primary practice location

1241 Cross Timbers Rd
Flower Mound, TX 75028-1272

Mailing address

1241 Cross Timbers Rd
Flower Mound, TX 75028-1272
Phone (972) 691-3131

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

LicenseStateTypeSpecialty
1161070TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seniorcare Associates LP PastSince Oct 19, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1225636350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 CROSS TIMBERS RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281272",
            "telephone_number": "972-691-3131",
            "fax_number": "972-691-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 CROSS TIMBERS RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281272",
            "telephone_number": "972-691-3131",
            "fax_number": "972-691-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURGH",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1161070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.