Andy R Purdy, P.T.
Individual provider Active NPI Physical Therapist · Oak Park, CA
NPI 1669625596 · NPPES record last updated Aug 17, 2011
Key facts
- NPI
- 1669625596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 34801 (CA)
- Practice address
- 5837 Oak Bend LN Unit 301
Oak Park, CA 91377-5648 - Phone
- (702) 416-6059
- Fax
- (818) 851-9779
- NPI assigned
- Oct 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34801 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34801 | CA | Yes |
Addresses
Primary practice location
5837 Oak Bend LN Unit 301
Oak Park, CA 91377-5648
Mailing address
5837 Oak Bend LN Unit 301
Oak Park, CA 91377-5648
Phone (702) 416-6059
Other providers in Oak Park, CA
- Ortho Pro Physical Therapy
- Brenda Pasqua
- Danielle Elizabeth Pecoraro
- Erica Perlman
- Priority Family Health a Medical Corporation
- Janet Resnick
- Daphne Reyes
- Eyal Ron
- Laurence Rose
- Irene Shabzi Rowland
All providers in Oak Park, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.