Active NPI
Paul Joseph McAndrew, P.T.
- Physical Therapist
- Durham, NC
National Provider Identifier
1932239241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6879
- Practice address
- 3500 Westgate Dr Ste 504
Durham, NC 27707-2568 - Phone
- (919) 489-8809
- Fax
- (919) 489-5099
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 6879 | NC | Primary |
Addresses
Primary practice location
3500 Westgate Dr Ste 504
Durham, NC 27707-2568
Mailing address
6 E Pond Rd
Black Mountain, NC 28711-2584
Phone (199) 489-8809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7210443 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | wellnessstation.co |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6879 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Station LLC | Physical Therapist | Current | Accepting new patients |
Locations
3500 Westgate Dr
Ste 504
Durham, NC 27707
Phone (910) 212-4441
3001 Academy Rd
Ste 130
Durham, NC 27707
Phone (919) 489-8809
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": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1932239241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 E POND RD",
"city": "BLACK MOUNTAIN",
"state": "NC",
"postal_code": "287112584",
"telephone_number": "199-489-8809",
"fax_number": "919-489-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 WESTGATE DR STE 504",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072568",
"telephone_number": "919-489-8809",
"fax_number": "919-489-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANDREW",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7210443",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "wellnessstation.co",
"affiliation": "N",
"address_1": "3500 Westgate Dr Ste 504",
"city": "Durham",
"state": "NC",
"country_code": "US",
"postal_code": "277072568",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.