Individual provider Active NPI

Andrew D Michels, PT

  • Physical Therapist
  • Oak Ridge, NC
National Provider Identifier
1720048135
Registry record updated Aug 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3679 Issued in NC
Practice address
2205 Oak Ridge Rd
Suite FF
Oak Ridge, NC 27310-8728
Phone
(336) 644-0201
Fax
(336) 644-0501
NPI assigned
Mar 28, 2006
Last updated
Aug 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2008

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 3679 NC Primary

Addresses

Primary practice location

2205 Oak Ridge Rd
Suite FF
Oak Ridge, NC 27310-8728

Mailing address

PO Box 875
Oak Ridge, NC 27310-0875
Phone (336) 644-0201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000522 NC Practitioner - Physical Therapist in Private Practice 0840390498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Ridge Physical Therapy, Inc.Group PAC ID 5395810808, 7 clinicians

Practice addresses (Care Compare)

2205 Oak Ridge Rd
FF
Oak Ridge, NC 27310-8738
Phone (336) 644-0201

5921 W Friendly Ave
Suite A1
Greensboro, NC 27410-3268
Phone (336) 268-3139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3679NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA Current Accepting new patients
Oak Ridge Physical Therapy, Inc. Physical Therapist CurrentSince Aug 19, 2008 Accepting new patients
Eagle Physicians and Associates PA Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Eagle Physicians and Associates PA PastSince Jan 2, 2024 Accepting new patients

Locations

640 S Van Buren Rd
Unit B
Eden, NC 27288
Phone (336) 275-0927

5921 W Friendly Ave
Ste A1
Greensboro, NC 27410
Phone (336) 268-3139

2205 Oak Ridge Rd
Ste Ff
Oak Ridge, NC 27310
Phone (336) 644-0201

Organizations & group practices 5

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218326400000",
    "number": "1720048135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273100875",
            "telephone_number": "336-644-0201",
            "fax_number": "336-644-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 OAK RIDGE RD",
            "address_2": "SUITE FF",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273108728",
            "telephone_number": "336-644-0201",
            "fax_number": "336-644-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "ANDREW",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "3679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2008; 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.