Individual provider Active NPI

Bradley Andrews, DPT

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1730335480
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24317 Issued in FL
Practice address
6775 40TH Ave N
St Petersburg, FL 33709-4939
Phone
(727) 308-9848
Fax
(727) 502-6027
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PT24317 FL Primary

Addresses

Primary practice location

6775 40TH Ave N
St Petersburg, FL 33709-4939

Mailing address

260 1St Ave S Ste 200-161
St Petersburg, FL 33701-4361
Phone (727) 308-9848

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

LicenseStateTypeSpecialty
PT24317FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Viamyo LLC Current Accepting new patients
Advanced Physical Therapy of Englewood Inc Physical Therapist Past Accepting new patients
Advanced Physical Therapy of Palmetto Inc Physical Therapist Past Accepting new patients

Locations

260 1st Ave S
Ste 200
St Petersburg, FL 33701
Phone (727) 308-9848

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730335480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 1ST AVE S STE 200-161",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014361",
            "telephone_number": "727-308-9848",
            "fax_number": "727-502-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6775 40TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094939",
            "telephone_number": "727-308-9848",
            "fax_number": "727-502-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "BRADLEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.