Adrian Perry Arnot Andrews, PTA

Individual provider Active NPI Physical Therapy Assistant · Seattle, WA

NPI 1780074716 · NPPES record last updated May 8, 2024

Key facts

NPI
1780074716
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
P160351271 (WA)
Practice address
11 W Aloha St
Seattle, WA 98119-3743
Phone
(206) 281-5745
NPI assigned
Jan 29, 2015
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240522002018 WA Practitioner - Physical Therapist in Private Practice 9032551031 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Wellness and Therapy Physical Therapy Assistant Current
since Apr 9, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P160351271 WA Yes

Addresses

Primary practice location

11 W Aloha St
Seattle, WA 98119-3743

Mailing address

200 Aloha St Apt 9
Seattle, WA 98109-3763
Phone (509) 251-6250

Other providers in Seattle, WA

All providers in Seattle, WA · Physical Therapy Assistant in Washington

Sources for this page

Verify at the official NPI Registry.