Active NPI
Mark Andress, P.T.
- Physical Therapist
- King of Prussia, PA
National Provider Identifier
1801864475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-007038-L
- Practice address
- 3400 Horizon Dr
Suite 110
King of Prussia, PA 19406-2675 - Phone
- (610) 277-6447
- Fax
- (610) 277-8244
- NPI assigned
- Mar 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-007038-L | PA | Primary |
Addresses
Primary practice location
3400 Horizon Dr
Suite 110
King of Prussia, PA 19406-2675
Mailing address
401 Cricket Ave
North Hills, PA 19038-2219
Phone (215) 806-3415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-007038-L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801864475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CRICKET AVE",
"city": "NORTH HILLS",
"state": "PA",
"postal_code": "190382219",
"telephone_number": "215-806-3415",
"fax_number": "215-886-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 HORIZON DR",
"address_2": "SUITE 110",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062675",
"telephone_number": "610-277-6447",
"fax_number": "610-277-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRESS",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-007038-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.