Individual provider Active NPI

Andrea Tuijl, P.T.

  • Physical Therapist
  • Green Valley, AZ
National Provider Identifier
1750315347
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3802 Issued in AZ
Practice address
140 W Duval Mine Rd
Suite 104
Green Valley, AZ 85614-5000
Phone
(520) 207-9345
Fax
(520) 207-9435
NPI assigned
Jul 10, 2006
Last updated
Jul 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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 3802 AZ Primary

Addresses

Primary practice location

140 W Duval Mine Rd
Suite 104
Green Valley, AZ 85614-5000

Mailing address

140 W Duval Mine Rd
Suite #104
Green Valley, AZ 85614-5000
Phone (520) 207-9345

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
3802AZMDPhysician Assistant

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1750315347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W DUVAL MINE RD",
            "address_2": "SUITE #104",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145000",
            "telephone_number": "520-207-9345",
            "fax_number": "520-207-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W DUVAL MINE RD",
            "address_2": "SUITE 104",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856145000",
            "telephone_number": "520-207-9345",
            "fax_number": "520-207-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUIJL",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.