Active NPI
Andrew J Symula, PT
- Specialist
- Richmond, VA
National Provider Identifier
1639296262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 3536 Grove Ave
Richmond, VA 23221-2200 - Phone
- (804) 359-1768
- Fax
- (804) 359-1928
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | VA | Primary |
Addresses
Primary practice location
3536 Grove Ave
Richmond, VA 23221-2200
Mailing address
3536 Grove Ave
Richmond, VA 23221-2200
Phone (804) 359-1768
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305204096 | Other | VA | STATE HEALTH LICENSE |
| $$$$$$$$$ | Other | SOCIAL SECURITY NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230524096 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1639296262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3536 GROVE AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232212200",
"telephone_number": "804-359-1768",
"fax_number": "804-359-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3536 GROVE AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232212200",
"telephone_number": "804-359-1768",
"fax_number": "804-359-1928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYMULA",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE HEALTH LICENSE",
"identifier": "2305204096",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL SECURITY NUMBER",
"identifier": "$$$$$$$$$",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.