Tommy Andre Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TOMMY ANDRE PHYSICAL THERAPY

Doing business as

Proactive Sports Therapy

Practice address

31425 Agoura Rd
Westlake Village, CA 91361-4614

Phone

(425) 422-7754

NPI assigned

Jun 25, 2021

Last updated

Jul 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Andre, PT, DPTNPI 1427577253

Title

Owner/Physical Therapist

Phone

(425) 422-7754

Specialties & licenses 1

Addresses

Other names 1

• Proactive Sports Therapy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas John Andre, DPT

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1427577253
  Authorized official Same address or phone
• Mary Ellen Cullen, LCSW

  • Clinical Social Worker
  • Oxnard, CA
  • NPI 1912484114
  NPD (past)
• Lorilyn Haugh

  • Clinical Social Worker
  • Ventura, CA
  • NPI 1316497472
  NPD (past)

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1528638202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31425 AGOURA RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614614",
            "telephone_number": "425-422-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31425 AGOURA RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614614",
            "telephone_number": "425-422-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMMY ANDRE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDRE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "425-422-7754",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive Sports Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cailin Marie Tickle, MS, LMFT
• Tincher Family Dentistry (Linda M Tincher, DDS Inc)
• Phillip FJ Tirman, M.D.
• Duane Toderan, C.O.
• Yoshiki Richard Tokuyama, DDS
• Marina Tonkonogy, MFT
• Daniel Charles Toomey III
• Tosh Chiropractic Bodywork
• Christopher Michael Tosh, D.C.
• Total Renal Care Inc (Westlake Village Dialysis)

• Physical Therapy Clinic/Center in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.