Andre Dean Kaufman

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1317 St Claire Blvd Ste a
Mission, TX 78572-6636

Phone

(956) 584-3535

Fax

(956) 584-3535

NPI assigned

Mar 15, 2022

Last updated

Mar 15, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Performance Therapeutics Mission

  • Physical Therapist
  • Mission, TX
  • NPI 1548279565
  NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1407504830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N 23RD ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016127",
            "telephone_number": "956-687-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 ST CLAIRE BLVD STE A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726636",
            "telephone_number": "956-584-3535",
            "fax_number": "956-584-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ANDRE",
        "middle_name": "DEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JZC,Inc
• JZC,Inc
• Kama Enterprises, LLC (Feliz Dia Adult Day Care)
• Vaibhav Kanawade, MD
• Geetha Karingada
• Jaspreet Kaur, M.D.
• KCCL LLC
• Kaylee Cassandra Kelley
• Kelly's D.M.E., Inc.
• Kelly's Primary Care, Inc

• Physical Therapy Assistant in Mission, TX
• Providers in Mission, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.