Active NPI
Michael Eugene Andrews, P.T.
- Physical Therapist
- Genoa, IL
National Provider Identifier
1821327073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070013430
- Practice address
- 599 Pearson Dr
Genoa, IL 60135-1355 - Phone
- (815) 784-2100
- Fax
- (815) 784-2110
- NPI assigned
- Dec 17, 2009
- Last updated
- Dec 17, 2009
- 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 | 070013430 | IL | Primary |
Addresses
Primary practice location
599 Pearson Dr
Genoa, IL 60135-1355
Mailing address
1 Kishhospital Drive
Dekalb, IL 60115-3125
Phone (815) 748-7800
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 |
|---|---|---|---|
| 070013430 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261008000000",
"number": "1821327073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KISHHOSPITAL DRIVE",
"city": "DEKALB",
"state": "IL",
"postal_code": "601153125",
"telephone_number": "815-748-7800",
"fax_number": "815-758-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 PEARSON DR",
"city": "GENOA",
"state": "IL",
"postal_code": "601351355",
"telephone_number": "815-784-2100",
"fax_number": "815-784-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "MICHAEL",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-17",
"last_updated": "2009-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070013430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Genoa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.