Individual provider Active NPI

Andrea David

  • Physical Therapy Assistant
  • Flushing, NY
National Provider Identifier
1972211233
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
013493 Issued in NY
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

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
052088NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
1 Of a Kind Home Health Care LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.