Andrea R Hebert, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

8955A Issued in AZ

Practice address

1534 E Ray Rd Ste 104
Gilbert, AZ 85296-4429

Phone

(480) 855-5542

Fax

(480) 855-5756

NPI assigned

Jun 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea R Fulcher Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1598323792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 E RAY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964429",
            "telephone_number": "480-855-5542",
            "fax_number": "480-855-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 E RAY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964429",
            "telephone_number": "480-855-5542",
            "fax_number": "480-855-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "ANDREA",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "8955A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "FULCHER",
            "middle_name": "R",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heart-Centered Enterprises LLC
• Heartcare Mobile Diagnostics
• Heartfit for Duty LLC
• Heartfit for Duty, LLC
• Allison Heath, FNP-C
• Lora L Hebert, MD
• Mackenzie Hechtle
• Louise Teri Heeman, LCSW
• Gerard Hefferon, DC
• Christina Marie Heiken, FNP-C

• Physical Medicine & Rehabilitation Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.