Andrea Newland, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049627 Issued in NY

Practice address

3061 Ny-28
Herkimer, NY 13350

Phone

(315) 717-0020

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  Medicare reassignment NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1255040085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6764 QUAKER HILL RD",
            "city": "AVA",
            "state": "NY",
            "postal_code": "133032110",
            "telephone_number": "315-269-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 NY-28",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "13350",
            "telephone_number": "315-717-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLAND",
        "first_name": "ANDREA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mvny Partners V LLC
• Vanessa Nichole Myers, PHARM D.
• Debora J Napoli
• Erik J Nassif, P.T.
• Alexandra Grace Nelson
• Michelle Ann Nichols, RPH
• Richard Andrew Nocella Jr., DO
• Amanda Ortlieb, LPN
• Kristen Amy Ozog, PT
• Blase Thomas Pachura

• Physical Therapist in Herkimer, NY
• Providers in Herkimer, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.