Andrea Alexandra McCullough, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA012553 Issued in OH

Practice address

8224 Mentor Ave Ste 114
Mentor, OH 44060-5743

Phone

(330) 867-2240

NPI assigned

Apr 6, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Language Learning Associates, LLC

  • Speech-Language Pathologist
  • Fairlawn, OH
  • NPI 1336268705
  NPD (past)

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1699460519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 FULLER DR APT 6",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046200",
            "telephone_number": "440-317-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE STE 114",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605743",
            "telephone_number": "330-867-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "ANDREA",
        "middle_name": "ALEXANDRA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA012553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie McCarthy
• Breanne McCarthy
• Nathan Robert McClintock, MSW, QBHS
• Lisa McClure
• Samantha McCoy, LPCC
• Breonna McCullough
• Madeline McDowell, LPCC
• Shannon McFarland
• Svetlana Roytman McGarvey, O.D.
• Eileen S. McGee, MD

• Physical Therapy Assistant in Mentor, OH
• Providers in Mentor, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.