Individual provider Active NPI

Andy Feingold, P.T.

  • Physical Therapist
  • Franklin, TN
National Provider Identifier
1700088176
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3002 Issued in AL
Practice address
2001 Mallory LN
Suite 201
Franklin, TN 37067-8233
Phone
(615) 373-1350
Fax
(615) 221-9054
NPI assigned
Jun 5, 2007
Last updated
Jun 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 PTH3002 AL Primary

Addresses

Primary practice location

2001 Mallory LN
Suite 201
Franklin, TN 37067-8233

Mailing address

4601 Whitesburg Dr SE
Suite 102
Huntsville, AL 35802-1676
Phone (256) 883-1734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907002570 CA Practitioner - Physical Therapist in Private Practice 4486871167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
College of Osteo Med of the Pacific at Pomona, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scor Physical Therapy IncGroup PAC ID 8729973730, 5 clinicians

Practice addresses (Care Compare)

653 Camino de Los Mares
Suite 110
San Clemente, CA 92673-2808
Phone (949) 496-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3002ALMDMental Health Counselor
PTH3002ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Santa Margarita Physical Therapy Sports Medicine Inc CurrentSince Sep 1, 2017 Accepting new patients
Scor Physical Therapy Inc Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients

Locations

29803 Santa Margarita Pkwy
Rcho Sta Marg, CA 92688
Phone (949) 459-9010

653 Camino de los Mares
Ste 110
San Clemente, CA 92673
Phone (949) 496-0122

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1700088176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE",
            "address_2": "SUITE 102",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021676",
            "telephone_number": "256-883-1734",
            "fax_number": "256-883-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN",
            "address_2": "SUITE 201",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678233",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINGOLD",
        "first_name": "ANDY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.