Andrew Laurence Concors, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12930 Issued in CA

Practice address

1632 Olmeda St
Encinitas, CA 92024-4831

Phone

(760) 815-7103

NPI assigned

Apr 16, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• New Life Physical Therapy Services, PC

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1285160788
  Medicare reassignment NPD
• New Life Healthcare, LLC

  • Physical Therapy Clinic/Center
  • Greenville, SC
  • NPI 1275598039
  NPD (past)

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1578706743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 OLMEDA ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244831",
            "telephone_number": "760-815-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 OLMEDA ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244831",
            "telephone_number": "760-815-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCORS",
        "first_name": "ANDREW",
        "middle_name": "LAURENCE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12930",
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT12930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Marie Commentz, PH.D.
• Community Resource Center
• Comprehensive Dermatology Group
• Comprehensive Surgical Associates MD PC
• Rebecca L Dwyer Conahan, M.D.
• John Paul Condon, D.C.
• Savanna Jo Congo, RN
• Susie Conine
• Kristen Conlon, PHARM D
• Connect the Docs, Multi-Specialty Network, Inc.

• Physical Therapist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.