Individual provider Active NPI

Andy Yin

  • Student in an Organized Health Care Education/Training Program
  • Brandywine, MD
National Provider Identifier
1902650294
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
13950 Brandywine Rd
Brandywine, MD 20613-5815
Phone
(301) 782-2250
NPI assigned
Apr 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

13950 Brandywine Rd
Brandywine, MD 20613-5815

Mailing address

5707 Jacobsen PL
Alexandria, VA 22303-1228
Phone (703) 226-9823

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003003141 DC Practitioner - Physical Therapist in Private Practice 2466958871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Marymount University, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Physical Therapy and Sports Medicine, LLCGroup PAC ID 9133273741, 28 clinicians

Practice addresses (Care Compare)

2700 S Quincy St
Suite 300
Arlington, VA 22206-2267
Phone (571) 560-8019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Physical Therapy & Sports Medicine, LLC CurrentSince Sep 22, 2025 Accepting new patients

Locations

225 Reinekers Ln
Ste GR4
Alexandria, VA 22314
Phone (703) 299-3111

2700 S Quincy St
Ste 300
Arlington, VA 22206
Phone (571) 543-4810

Organizations & group practices 1

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1902650294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 JACOBSEN PL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031228",
            "telephone_number": "703-226-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 BRANDYWINE RD",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135815",
            "telephone_number": "301-782-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIN",
        "first_name": "ANDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.