Andy Tran, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29788 Issued in FL

Practice address

3900 S Florida Ave
Suite 107
Lakeland, FL 33813-1151

Phone

(863) 647-3665

Fax

(863) 647-2998

NPI assigned

Nov 18, 2014

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)

Enrolled

State licenses

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1477959443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S FLORIDA AVE",
            "address_2": "SUITE 107",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131151",
            "telephone_number": "863-647-3665",
            "fax_number": "863-647-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S FLORIDA AVE",
            "address_2": "SUITE 107",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131151",
            "telephone_number": "863-647-3665",
            "fax_number": "863-647-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "ANDY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halie Marie Toy, APRN
• Patricia Mari Trabal Rodriguez, CRNA
• Michael G Trabulsy, LMHC
• Anita Trainer, PHARMD
• Alex Tru Tran, DO
• Daniel Tran
• Khoa Dang Tran
• Lee Tran
• Xuan Tran, PHARM.D.
• Transparent Health Marketplace

• Physical Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.