Individual provider Active NPI

Andrea M Azzarito

  • Physical Therapist
  • Ossipee, NH
National Provider Identifier
1639326200
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2542 Issued in NH
Practice address
93 Water Village Rd
Ossipee, NH 03864-7268
Phone
(603) 539-7511
NPI assigned
Aug 26, 2008
Last updated
May 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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 2542 NH Primary

Addresses

Primary practice location

93 Water Village Rd
Ossipee, NH 03864-7268

Mailing address

93 Water Village Rd
Ossipee, NH 03864-7268
Phone (603) 539-7511

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

LicenseStateTypeSpecialty
2542NHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1639326200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 WATER VILLAGE RD",
            "city": "OSSIPEE",
            "state": "NH",
            "postal_code": "038647268",
            "telephone_number": "603-539-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 WATER VILLAGE RD",
            "city": "OSSIPEE",
            "state": "NH",
            "postal_code": "038647268",
            "telephone_number": "603-539-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZARITO",
        "first_name": "ANDREA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossipee, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.