Andrea Lynn Hutton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005471 Issued in WA

Practice address

21018 SE 24TH St
Sammamish, WA 98075

Phone

(425) 765-2178

Fax

(425) 427-6287

NPI assigned

Oct 3, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Center for Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Sammamish, WA
  • NPI 1215050018
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699860908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21018 SE 24TH ST",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "98075",
            "telephone_number": "425-765-2178",
            "fax_number": "425-427-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21018 SE 24TH ST",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "98075",
            "telephone_number": "425-765-2178",
            "fax_number": "425-427-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0194599",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5784HU",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Lynn Humble, D.D.S.
• Li-Kuei Gabrielle Hung, D.D.S.
• Lisa Marie Hunter
• Lindsey Royal Hurt, PMHNP-BC
• Alyaa S. Hussien, PHARMACIST
• Ig Therapy Services
• Timothy Andrew Ingison
• Integrated Rehabilitation Group, PC
• Julianna Katherine Islip
• Issaquah Family Chiropractic, P.S.

• Physical Therapist in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.