Individual provider Active NPI

Andrea Sara Gledhill, D.P.T.

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1710280805
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37308 Issued in CA
Practice address
2100 Main St
Suite 250
Huntington Beach, CA 92648-2475
Phone
(714) 374-0233
NPI assigned
Dec 10, 2010
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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 37308 CA Primary

Addresses

Primary practice location

2100 Main St
Suite 250
Huntington Beach, CA 92648-2475

Mailing address

2100 Main St
Suite 250
Huntington Beach, CA 92648-2475
Phone (714) 374-0233

Other names 1

  • Andrea Sara Santos Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Physical Therapy, Inc. Physical Therapist PastSince Nov 1, 2000 Accepting new patients
Physical RX Physical Therapy, Inc. Physical Therapist PastSince Apr 25, 2016 Accepting new patients
Ishcorp Enterprises Physical Therapist PastSince May 31, 2005 Accepting new patients

Organizations & group practices 3

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": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1710280805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MAIN ST",
            "address_2": "SUITE 250",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482475",
            "telephone_number": "714-374-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MAIN ST",
            "address_2": "SUITE 250",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482475",
            "telephone_number": "714-374-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEDHILL",
        "first_name": "ANDREA",
        "middle_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-10",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "SANTOS",
            "middle_name": "SARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.