Active NPI
Stanley Andrzejewski, PT
- Orthopedic Physical Therapist
- Timonium, MD
National Provider Identifier
1508062142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 14265
- Practice address
- 9628 Deereco Rd
Timonium, MD 21093-2120 - Phone
- (410) 560-2980
- Fax
- (410) 560-3673
- NPI assigned
- Jun 21, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 14265 | MD | Primary |
Addresses
Primary practice location
9628 Deereco Rd
Timonium, MD 21093-2120
Mailing address
1710 Parsonage Rd
Parkton, MD 21120-9689
Phone (410) 560-2980
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 |
|---|---|---|---|
| 14265 | MD | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1508062142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 PARSONAGE RD",
"city": "PARKTON",
"state": "MD",
"postal_code": "211209689",
"telephone_number": "410-560-2980",
"fax_number": "410-560-3673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9628 DEERECO RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210932120",
"telephone_number": "410-560-2980",
"fax_number": "410-560-3673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRZEJEWSKI",
"first_name": "STANLEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "14265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.