Active NPI
Andrea David
- Physical Therapy Assistant
- Flushing, NY
National Provider Identifier
1972211233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 013493
- Practice address
- 14140 Union Tpke
Flushing, NY 11367-3696 - Phone
- (718) 300-8023
- NPI assigned
- Nov 7, 2022
- Sex
- Female
- 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 | 052088 | NY | |
| Physical Therapy Assistant | 225200000X | 013493 | NY | Primary |
Addresses
Primary practice location
14140 Union Tpke
Flushing, NY 11367-3696
Mailing address
66 Rockwell PL Apt 6B
Brooklyn, NY 11217-1195
Phone (347) 998-2240
Other practice location 1
66 Rockwell Pl Apt 6B
Brooklyn, NY 11217-1195
Phone (347) 998-2240
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Andrea@affordablecarehomehealth.com | Direct |
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 |
|---|---|---|---|
| 052088 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1 Of a Kind Home Health Care LLC | Current | Accepting new patients |
Interoperability endpoints
- andrea@affordablecarehomehealth.com
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.
-
- Home Health Agency
- Brooklyn, NY
- NPI 1982298899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725667200000",
"number": "1972211233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 ROCKWELL PL APT 6B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171195",
"telephone_number": "347-998-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14140 UNION TPKE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673696",
"telephone_number": "718-300-8023"
}
],
"practiceLocations": [
{
"address_1": "66 Rockwell Pl Apt 6B",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112171195",
"country_code": "US",
"telephone_number": "347-998-2240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVID",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2024-09-07",
"certification_date": "2024-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "052088",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "013493",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Andrea@affordablecarehomehealth.com",
"affiliation": "N",
"endpointDescription": "Home Health E-Mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "14140 Union Tpke",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113673696",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.