Active NPI
Rowena C Andes, PT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1720124605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0284271
- Practice address
- 4434 Amboy Rd
Staten Island, NY 10312-3866 - Phone
- (718) 227-7015
- Fax
- (718) 227-6411
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0284271 | NY | Primary |
Addresses
Primary practice location
4434 Amboy Rd
Staten Island, NY 10312-3866
Mailing address
4175 Veterans Memorial Hwy
Suite 202
Ronkonkoma, NY 11779-7639
Phone (631) 580-5200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0284271 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1720124605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 VETERANS MEMORIAL HWY",
"address_2": "SUITE 202",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797639",
"telephone_number": "631-580-5200",
"fax_number": "631-580-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4434 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103123866",
"telephone_number": "718-227-7015",
"fax_number": "718-227-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDES",
"first_name": "ROWENA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0284271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.