Active NPI
Marcella M Andrews, PT
- Physical Therapist
- Madison, WI
National Provider Identifier
1427079078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9577-24
- Practice address
- 317 Knutson Drive
Madison, WI 53704 - Phone
- (608) 301-9378
- NPI assigned
- Jul 21, 2006
- Last updated
- Feb 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9577-24 | WI | Primary |
Addresses
Primary practice location
317 Knutson Drive
Madison, WI 53704
Mailing address
317 Knutson Drive
Madison, WI 53704
Phone (608) 301-9378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9577-24 | Other | WI | PT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9577-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1427079078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 KNUTSON DRIVE",
"city": "MADISON",
"state": "WI",
"postal_code": "53704",
"telephone_number": "608-301-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 KNUTSON DRIVE",
"city": "MADISON",
"state": "WI",
"postal_code": "53704",
"telephone_number": "608-301-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "MARCELLA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "9577-24",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT",
"identifier": "9577-24",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.