Andover Lymphedema Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ANDOVER LYMPHEDEMA THERAPY, LLC

Practice address

80 Sutton Hill Rd
North Andover, MA 01845-4617

Phone

(978) 204-0577

NPI assigned

Sep 17, 2020

Last updated

Dec 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judith WestNPI 1306039862

Title

Owner

Phone

(978) 204-0577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith B West, DPT

  • Physical Therapist
  • North Andover, MA
  • NPI 1306039862

  NH, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607126400000",
    "number": "1285240903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SUTTON HILL RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454617",
            "telephone_number": "978-204-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SUTTON HILL RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454617",
            "telephone_number": "978-204-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDOVER LYMPHEDEMA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-204-0577"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andover Ear, Nose and Throat Center
• Andover Endodontics, Inc
• Andover Forest Operating LLC
• Andover Forest Post Acute Care Center LLC
• Andover in-Home Care LLC
• Andover Pediatrics
• Andover Physical Therapy, Inc.
• Andover Smiles
• Andover Wellness and Counseling
• Jessica Andrade, DO

• Physical Therapist in North Andover, MA
• Providers in North Andover, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; 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.