Individual provider Active NPI

Thomas John Andre, DPT

  • Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1427577253
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT293344 Issued in CA
Practice address
3088 Saffron Cir
Thousand Oaks, CA 91360-6378
Phone
(425) 422-7754
NPI assigned
Sep 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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 PT293344 CA Primary

Addresses

Primary practice location

3088 Saffron Cir
Thousand Oaks, CA 91360-6378

Mailing address

3088 Saffron Cir
Thousand Oaks, CA 91360-6378
Phone (425) 422-7754

Other practice location 1

100 E. MacArthur Blvd
Rooftop at The Marke
Santa Ana, CA 92797
Phone (949) 891-1325

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT293344CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motus Athletics Physical Therapy, Inc. 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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1427577253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 SAFFRON CIR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606378",
            "telephone_number": "425-422-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 SAFFRON CIR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606378",
            "telephone_number": "425-422-7754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E. MacArthur Blvd",
            "address_2": "Rooftop at The Marke",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "92797",
            "country_code": "US",
            "telephone_number": "949-891-1325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRE",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-13",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.