Individual provider Active NPI

Andrew Francis Nardell, PT

  • Physical Therapist
  • Rutland, VT
National Provider Identifier
1295074839
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0003164 Issued in VT
Practice address
1 Scale Ave Ste 32
Rutland, VT 05701-4455
Phone
(802) 855-8068
NPI assigned
Feb 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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 040.0003164 VT Primary

Addresses

Primary practice location

1 Scale Ave Ste 32
Rutland, VT 05701-4455

Mailing address

126 Bellevue Ave
Rutland, VT 05701-3321
Phone (802) 353-3533

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
040.0003164VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back on Track Physical Therapy PLLC Physical Therapist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1295074839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 BELLEVUE AVE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013321",
            "telephone_number": "802-353-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCALE AVE STE 32",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014455",
            "telephone_number": "802-855-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDELL",
        "first_name": "ANDREW",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0003164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.