Andrew Douglas Mish, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 24940 Issued in FL

Practice address

5801 Argerian Dr Ste 102
Wesley Chapel, FL 33545-4145

Phone

(813) 907-0548

NPI assigned

Oct 1, 2009

Last updated

Oct 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Sports and Orthopedic Rehabilitation Services Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Riverview, FL
  • NPI 1841981073
  NPD (past)

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1750615290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10626 LUCAYA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ARGERIAN DR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335454145",
            "telephone_number": "813-907-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISH",
        "first_name": "ANDREW",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18566",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 24940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Lee Miner
• Abigail Miramon
• Melissa Miranda, ARNP
• Haresh Mirchandani
• Milvia Succel Miseroy, MS, CCC-SLP
• Jo Ann M. Misiaszek-Boser, LCSW
• Missing Piece ABA LLC
• Mitchell Forman MD PA (New Tampa Urgent Care)
• Mitchell Forman, M.D., P.a. (New Tampa Urgent Care)
• Nereida Marie Mitchell, CNA

• Physical Therapist in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.