Larry Andrews
Individual provider Active NPI Pediatric Physical Therapist · Powder Springs, GA
NPI 1376707182 · NPPES record last updated Jul 11, 2008
Key facts
- NPI
- 1376707182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- PT000462 (GA)
- Practice address
- 534 Owl Creek Dr
Powder Springs, GA 30127-6285 - Phone
- (770) 361-4124
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT000462 | GA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation and Consulting | Past | Accepting new patients | |
| Mobility Physical Therapy | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT000462 | GA | Yes |
Addresses
Primary practice location
534 Owl Creek Dr
Powder Springs, GA 30127-6285
Mailing address
534 Owl Creek Dr
Powder Springs, GA 30127-6285
Phone (770) 361-4124
Other providers in Powder Springs, GA
- Victor Amuzie
- Darrin Anderson
- Douglas M Anderson
- Mikaili Anderson
- Patricia Anderson
- Angelic Medcerts & Lab Solutions, LLC
- Angelic Rays Compassionate Care LLC
- Uche A Anikpe
- Anpen Healthcare LLC
- Chisom Anyanwu
All providers in Powder Springs, GA · Pediatric Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.