Individual provider Active NPI

Andrew Thomas Levanti, DPT, ATC

  • Physical Therapist
  • Summit, NJ
National Provider Identifier
1528584760
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01738600 Issued in NJ
Practice address
68 River Rd
Summit, NJ 07901-1450
Phone
(908) 277-0800
NPI assigned
Aug 18, 2017
Last updated
Aug 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01738600 NJ Primary

Addresses

Primary practice location

68 River Rd
Summit, NJ 07901-1450

Mailing address

38 Cornwallis Rd
Setauket, NY 11733-1137
Phone (908) 277-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180914002584 MA Practitioner - Physical Therapist in Private Practice 5698049146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Game Physical Therapy PCGroup PAC ID 0244514305, 8 clinicians

Practice addresses (Care Compare)

20 Carter St
Tewksbury, MA 01876-1404

73 Princeton St
Suite 8
North Chelmsford, MA 01863-1558
Phone (978) 710-7204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Game Physical Therapy, PC Physical Therapist CurrentSince Sep 4, 2018 Accepting new patients

Locations

1703 Middlesex St
Lowell, MA 01851
Phone (978) 710-7204

73 Princeton St
Ste 8
North Chelmsford, MA 01863
Phone (978) 710-7204

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1528584760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CORNWALLIS RD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331137",
            "telephone_number": "908-277-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 RIVER RD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011450",
            "telephone_number": "908-277-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVANTI",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPT,  ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01738600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.