Individual provider Active NPI

Andrew J York, PT

  • Physical Therapist
  • Jonesboro, LA
National Provider Identifier
1407157738
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07796 Issued in LA
Practice address
900 Pershing Hwy
Jonesboro, LA 71251-2046
Phone
(318) 224-8994
Fax
(318) 224-7094
NPI assigned
Nov 3, 2010
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 07796 LA
Physical Therapist 225100000X 07796 LA Primary

Addresses

Primary practice location

900 Pershing Hwy
Jonesboro, LA 71251-2046

Mailing address

PO Box 2846
Ruston, LA 71273-2846
Phone (318) 224-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220511002151 MT Practitioner - Physical Therapist in Private Practice 3971980012 Reassigns benefits to 1 organization
I20220728001242 LA Practitioner - Physical Therapist in Private Practice 3971980012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Parish Therapy Center, LLCGroup PAC ID 8022048867, 26 clinicians

Practice addresses (Care Compare)

900 Pershing Hwy
Jonesboro, LA 71251-2046
Phone (318) 259-9899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07796LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group-Butte LLC Current Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Apr 11, 2022 Accepting new patients
Jackson Parish Therapy Center LLC Specialist CurrentSince Aug 1, 2022 Accepting new patients
Padgett Brooks Inc Specialist PastSince Jan 1, 2024 Accepting new patients

Locations

900 Pershing Hwy
Jonesboro, LA 71251
Phone (318) 224-8994

1701 Commerce St
Ruston, LA 71270
Phone (318) 224-8994

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1407157738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2846",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712732846",
            "telephone_number": "318-224-8994",
            "fax_number": "318-224-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PERSHING HWY",
            "city": "JONESBORO",
            "state": "LA",
            "postal_code": "712512046",
            "telephone_number": "318-224-8994",
            "fax_number": "318-224-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-03",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "07796",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.