Andrew L Rathjen, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

1360 Issued in NE

Practice address

3213 W North Front St
Grand Island, NE 68803-4026

Phone

(308) 381-2424

Fax

(308) 381-3646

NPI assigned

Jun 30, 2006

Last updated

Mar 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Rathjen Physical Therapy LLC

  • Specialist
  • Grand Island, NE
  • NPI 1366452542
  Authorized official Same address or phone

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1275562761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 W NORTH FRONT ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034026",
            "telephone_number": "308-381-2424",
            "fax_number": "308-381-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 W NORTH FRONT ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034026",
            "telephone_number": "308-381-2424",
            "fax_number": "308-381-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHJEN",
        "first_name": "ANDREW",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025243900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Randall, PHARMD
• Melanie Randall
• Charla Rae Rasmussen, LCSW
• Patricia Rath, CRNA
• Rathjen Physical Therapy LLC
• Kamile Rathjen
• Rebecca S Rathjen, OT
• Traci A Rauch, MD
• RCG Grand Island, LLC (Kidney Dialysis Center of Grand Island)
• Rebekah Shunkwiler Counseling Services, LLC

• Specialist in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.