Active NPI
Andrew Boyea, DPT
- Physical Therapist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305210681
- Practice address
- 5400 Shawnee Rd
Suite 104
Alexandria, VA 22312-2300 - Phone
- (703) 256-4830
- Fax
- (703) 256-4826
- NPI assigned
- Sep 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305210681 | VA | Primary |
| Physical Therapist | 225100000X | 040375 | NY |
Addresses
Primary practice location
5400 Shawnee Rd
Suite 104
Alexandria, VA 22312-2300
Mailing address
5400 Shawnee Rd
Suite 104
Alexandria, VA 22312-2300
Phone (703) 256-4830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Maple Dell
Saratoga Springs, NY 12866-2951
Phone (518) 289-5242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040375 | NY | MD | Physical Therapist |
| 2305210681 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Wellness, PLLC | Current | Accepting new patients | |
| Capital Area Physical Therapy, PLLC | Current | Accepting new patients | |
| Orthopedic & Spine Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Cocozzo Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Locations
7 Hemphill Pl
Ste 130
Malta, NY 12020
Phone (518) 289-5242
3 Hunter Brook Ln
Queensbury, NY 12804
Phone (518) 793-0891
3 Maple Dell
Saratoga Springs, NY 12866
Phone (518) 306-6894
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Malta, NY
- NPI 1477995330
-
- Physical Therapist
- Queensbury, NY
- NPI 1871685388
-
- Physical Therapy Clinic/Center
- Woodbridge, VA
- NPI 1568819266
-
- Physical Therapist
- Mechanicville, NY
- NPI 1720381403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1770030470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 SHAWNEE RD",
"address_2": "SUITE 104",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122300",
"telephone_number": "703-256-4830",
"fax_number": "703-256-4826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 SHAWNEE RD",
"address_2": "SUITE 104",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122300",
"telephone_number": "703-256-4830",
"fax_number": "703-256-4826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYEA",
"first_name": "ANDREW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305210681",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040375",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.