Individual provider Active NPI

Andrea Hulls, PT, DPT

  • Physical Therapist
  • Middlefield, OH
National Provider Identifier
1740873686
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
14950 S Springdale Ave
Middlefield, OH 44062-9644
Phone
(440) 632-1007
Fax
(440) 574-7254
NPI assigned
Feb 11, 2021
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 Primary

Addresses

Primary practice location

14950 S Springdale Ave
Middlefield, OH 44062-9644

Mailing address

PO Box 987
Middlefield, OH 44062-0987
Phone (440) 993-1004

Other identifiers 1

IdentifierTypeStateIssuer
PT019100OtherOHSTATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@myofitclinic.com Direct Cramer Physical Therapy, LLC

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
Steward Medical Group, Inc PastSince Feb 14, 2021 Accepting new patients

Organizations & group practices 1

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": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1740873686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440620987",
            "telephone_number": "440-993-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14950 S SPRINGDALE AVE",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629644",
            "telephone_number": "440-632-1007",
            "fax_number": "440-574-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULLS",
        "first_name": "ANDREA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PT019100",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@myofitclinic.com",
            "affiliation": "Y",
            "endpointDescription": "Company email",
            "affiliationName": "Cramer Physical Therapy, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14950 S Springdale Ave",
            "city": "Middlefield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440629644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.