Active NPI
Andrew Joseph Ullmer, DPT
- Orthopedic Physical Therapist
- Metairie, LA
National Provider Identifier
1831627074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 09642
- Practice address
- 3939 Houma Blvd Ste 17
Metairie, LA 70006-2921 - Phone
- (504) 885-9121
- Fax
- (504) 885-0322
- NPI assigned
- Jun 1, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Orthopedic Physical Therapist | 2251X0800X | 09642 | LA | Primary |
Addresses
Primary practice location
3939 Houma Blvd Ste 17
Metairie, LA 70006-2921
Mailing address
1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339-3067
Phone (504) 885-9121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09642 | Other | LA | DPT LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09642 | LA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831627074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CIRCLE 75 PKWY SE",
"address_2": "STE 1400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393067",
"telephone_number": "504-885-9121",
"fax_number": "504-885-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 HOUMA BLVD STE 17",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062921",
"telephone_number": "504-885-9121",
"fax_number": "504-885-0322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULLMER",
"first_name": "ANDREW",
"middle_name": "JOSEPH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "LA",
"license": "09642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPT LICENSE NUMBER",
"identifier": "09642",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.