Active NPI
Paula Andrejko, PT
- Physical Therapist
- Andover, MA
National Provider Identifier
1679634422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12174
- Practice address
- 200 Brickstone SQ
Suite 301
Andover, MA 01810-1437 - Phone
- (610) 925-1185
- NPI assigned
- Dec 13, 2006
- Last updated
- Jan 20, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT12174 | NC | Primary |
Addresses
Primary practice location
200 Brickstone SQ
Suite 301
Andover, MA 01810-1437
Mailing address
7116 Meyer Rd
Fort Mill, SC 29715-7843
Phone (803) 547-2390
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12174 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1679634422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7116 MEYER RD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297157843",
"telephone_number": "803-547-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BRICKSTONE SQ",
"address_2": "SUITE 301",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018101437",
"telephone_number": "610-925-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREJKO",
"first_name": "PAULA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "PT12174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.