Individual provider Active NPI

Andria Renee Huston, PT

  • Physical Therapist
  • Blue Ash, OH
National Provider Identifier
1780684290
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6094 Issued in OH
Practice address
9419 Kenwood Rd
Blue Ash, OH 45242-6811
Phone
(513) 792-0777
Fax
(513) 792-0061
NPI assigned
Jul 27, 2005
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 PT6094 OH Primary

Addresses

Primary practice location

9419 Kenwood Rd
Blue Ash, OH 45242-6811

Mailing address

9419 Kenwood Rd
Blue Ash, OH 45242-6811
Phone (513) 792-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040830000151 OH Practitioner - Physical Therapist in Private Practice 9638144173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics SPT IncGroup PAC ID 7113834102, 101 clinicians

Practice addresses (Care Compare)

9419 Kenwood Rd
Blue Ash, OH 45242-6811
Phone (513) 792-0777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11175TNMDPharmacist
PT6094OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics SPT Inc Physical Therapist Current Accepting new patients
Rehabclinics SPT Inc CurrentSince Oct 26, 2022 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Oct 26, 2022 Accepting new patients
Orthopaedic Consultants of Cincinnati, Inc. Past Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients

Locations

9419 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 792-0777

2475 W Galbraith Rd
Ste A
Cincinnati, OH 45239
Phone (513) 522-0300

9596 Colerain Ave
Cincinnati, OH 45251
Phone (513) 661-3114

Interoperability endpoints

  • Direct secure messaging: andria.huston.p1@direct.toa.nextgenshare.com
  • Direct secure messaging: andria.huston.p2@direct.toa.nextgenshare.com
  • Direct secure messaging: andria.huston.p3@direct.toa.nextgenshare.com

Organizations & group practices 5

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1780684290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9419 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426811",
            "telephone_number": "513-792-0777",
            "fax_number": "513-792-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426811",
            "telephone_number": "513-792-0777",
            "fax_number": "513-792-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "ANDRIA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT6094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.

Verify at the official NPI Registry.