NPIMap

Organization Active NPI

Andrews Physical Therapy, SC

  • Physical Therapist
  • De Pere, WI
National Provider Identifier
1487667192
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ANDREWS PHYSICAL THERAPY, SC
Practice address
3852 Creamery Rd
De Pere, WI 54115-9210
Phone
(920) 338-9670
Fax
(920) 338-9680
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eliza Maria Teresa Andrews, PTNPI 1700831310
Title
Owner
Phone
(920) 338-9670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

3852 Creamery Rd
De Pere, WI 54115-9210

Mailing address

3852 Creamery Rd
De Pere, WI 54115-9210
Phone (920) 338-9670

Other identifiers 2

IdentifierTypeStateIssuer
41226000MedicaidWI
1487667192MedicaidWI

Other names 1

  • Inspirit Therapy Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000230 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092765214 Receives reassigned benefits from 8 practitioners
Practice locations: De Pere, WI

National Provider Directory

National Provider Directory

Locations

3208 E River Dr
Green Bay, WI 54301
Phone (920) 338-9670

1537 Park Pl
Ste 950
Green Bay, WI 54304
Phone (920) 499-7850

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1487667192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3852 CREAMERY RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159210",
            "telephone_number": "920-338-9670",
            "fax_number": "920-338-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 CREAMERY RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159210",
            "telephone_number": "920-338-9670",
            "fax_number": "920-338-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREWS PHYSICAL THERAPY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_middle_name": "MARIA TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-338-9670",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41226000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487667192",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspirit Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Pere, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.