Individual provider Active NPI

Andrew Joseph Nielsen

  • Physical Therapist
  • Cambridge, MD
National Provider Identifier
1790451219
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29531 Issued in MD
Practice address
321 Dorchester Ave Ste B
Cambridge, MD 21613-2425
Phone
(410) 228-5100
NPI assigned
Aug 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT029699 PA
Physical Therapist 225100000X 29531 MD Primary

Addresses

Primary practice location

321 Dorchester Ave Ste B
Cambridge, MD 21613-2425

Mailing address

475 Allendale Rd Ste 206
King of Prussia, PA 19406-1495
Phone (610) 270-0370

Other practice location 1

709 N 2nd St
Philadelphia, PA 19123-3007
Phone (267) 529-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, DC, AZ4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210825002139 PA Practitioner - Physical Therapist in Private Practice 0143625467 Reassigns benefits to 2 organizations
I20230907000421 MD Practitioner - Physical Therapist in Private Practice 0143625467 Reassigns benefits to 1 organization
I20230907004499 DC Practitioner - Physical Therapist in Private Practice 0143625467 Reassigns benefits to 1 organization
I20260113003145 AZ Practitioner - Physical Therapist in Private Practice 0143625467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Temple University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spooner Physical Therapy and Hand Rehab, PCGroup PAC ID 3476440447, 202 clinicians

Practice addresses (Care Compare)

20830 N Tatum Blvd
Suite 170
Phoenix, AZ 85050-7252
Phone (480) 502-5510

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29531MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Jul 24, 2023 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Jan 5, 2026 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince May 10, 2021 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Jul 24, 2023 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

20830 N Tatum Blvd
Ste 170
Phoenix, AZ 85050
Phone (480) 502-5510

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

321 Dorchester Ave
Ste B
Cambridge, MD 21613
Phone (410) 228-5100

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

1915 Guernsey Ave
Abington, PA 19001
Phone (215) 659-8600

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

475 Allendale Rd
Ste 205
King of Prussia, PA 19406
Phone (610) 850-0850

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1790451219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ALLENDALE RD STE 206",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061495",
            "telephone_number": "610-270-0370",
            "fax_number": "610-270-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 DORCHESTER AVE STE B",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132425",
            "telephone_number": "410-228-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191233007",
            "country_code": "US",
            "telephone_number": "267-529-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT029699",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.