Active NPI
Andrew John Puch, MA, PT
- Physical Therapist
- Hartville, OH
National Provider Identifier
1447526843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012733
- Practice address
- 1600 Smith Kramer St NE
Hartville, OH 44632-9467 - Phone
- (516) 810-7521
- NPI assigned
- Mar 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 012733 | OH | Primary |
Addresses
Primary practice location
1600 Smith Kramer St NE
Hartville, OH 44632-9467
Mailing address
1600 Smith Kramer St NE
Hartville, OH 44632-9467
Phone (516) 810-7521
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012733 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1447526843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 SMITH KRAMER ST NE",
"city": "HARTVILLE",
"state": "OH",
"postal_code": "446329467",
"telephone_number": "516-810-7521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SMITH KRAMER ST NE",
"city": "HARTVILLE",
"state": "OH",
"postal_code": "446329467",
"telephone_number": "516-810-7521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCH",
"first_name": "ANDREW",
"middle_name": "JOHN",
"credential": "MA, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-29",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "012733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.