Individual provider Active NPI

Andrew Lawrence Tilford, MSPT

  • Physical Therapist
  • Lake Placid, FL
National Provider Identifier
1508977190
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39992 Issued in FL
Practice address
490 US 27 N Ste 1190
Lake Placid, FL 33852-7923
Phone
(863) 465-9500
Fax
(863) 465-9542
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501011167 MI
Physical Therapist 225100000X PT39992 FL Primary

Addresses

Primary practice location

490 US 27 N Ste 1190
Lake Placid, FL 33852-7923

Mailing address

490 US 27 N Ste 1190
Lake Placid, FL 33852-7923
Phone (863) 465-9500

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

LicenseStateTypeSpecialty
PT39992FLMDPhysical Therapist
5501011167MIMDPhysical Therapist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1508977190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 US 27 N STE 1190",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527923",
            "telephone_number": "863-465-9500",
            "fax_number": "863-465-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 US 27 N STE 1190",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338527923",
            "telephone_number": "863-465-9500",
            "fax_number": "863-465-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILFORD",
        "first_name": "ANDREW",
        "middle_name": "LAWRENCE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011167",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.