Andrew C Lawrence, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA001434 Issued in GA

Practice address

124 E Jarman St Ste B
Hazlehurst, GA 31539-6133

Phone

(912) 375-2009

Fax

(912) 379-0081

NPI assigned

Aug 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrew C Lawrence Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Trinity Therapy Services Inc

  • Rehabilitation Clinic/Center
  • Hazlehurst, GA
  • NPI 1184817462

  Physical Therapy Assistant

  NPD Authorized official

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1760675805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315391005",
            "telephone_number": "912-375-2009",
            "fax_number": "912-379-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E JARMAN ST STE B",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396133",
            "telephone_number": "912-375-2009",
            "fax_number": "912-379-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "ANDREW",
        "middle_name": "C",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA001434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "LAWRENCE",
            "middle_name": "C",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• JKK, Inc.
• Jennifer Kersey, PHARMD, RPH
• Tyesia Andrette King, SPECIMEN COLLECTOR
• Tena R Kirkland, MASSAGE THERAPIST
• Jason Laney, M.D.
• Legacy Hospice of South Ga, LLC
• Alexis Leggett, PHARM D
• Kaylynn Leggett
• Jade Denice Lott
• Virginia Barnwell Lott

• All providers in Hazlehurst, GA
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.