ANDREW CARLSON (NPI# 1396263885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396263885 |
| Entity Type | Individual |
| Full Name | ANDREW CARLSON |
| Practice Address |
11050 Mount Belvedere Blvd Fort Drum NY 13602 |
| Mailing Address |
27515 County Route 32 Evans Mills NY 13637-3347 |
| Practice Telephone | 9139802656 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2018-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1298447 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 171000000X | Military Health Care Provider | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | 1298447 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750649885 | Andrew Clifford Carlson II | Radiologic Technologist | 2000 Via Royale Apt 2004, Jupiter, FL 33458-7084 | 2012-04-26 |
| 1518297928 | Andrew J Carlson | Specialist/Technologist | 601 Perimeter Dr Ste 100, Lexington, KY 40517-4121 | 2010-01-07 |
| 1588879464 | Andrew Charles Carlson | Counselor | 340 Main St Ste 383, Worcester, MA 01608-1694 | 2007-05-13 |
| 1922059252 | Andrew Charles Carlson | Pediatrics | 116 W Church St, Americus, GA 31709-3508 | 2006-05-12 |
| 1427673417 | Andrew Thomas Carlson | Pharmacist | 3901 Beaubien St Rm 108, Detroit, MI 48201-2119 | 2020-06-15 |
| 1730537119 | Andrew Carlson | Physical Therapist | 2191 Nw 2nd St Bldg 4, Mcminnville, OR 97128-9106 | 2016-05-26 |
| 1972957843 | Andrew Carlson | Specialist/Technologist | 2301 25th St S, Fargo, ND 58103 | 2016-04-18 |
| 1932481983 | Andrew Kenneth Carlson | Physical Therapist | 24630 Sandhill Blvd, Unit 303, Punta Gorda, FL 33983-5229 | 2011-09-15 |
| 1659663185 | Andrew Carlson | Nurse Anesthetist, Certified Registered | 3610 Richmond Cir, Grand Island, NE 68803-3927 | 2011-05-02 |
| 1811036825 | Andrew Phillip Carlson | Neurological Surgery | 1 University of New Mexico, Msc 10 5615 (department of Neurosurgery), Albuquerque, NM 87131-0001 | 2007-02-06 |
| Street Address |
11050 MOUNT BELVEDERE BLVD |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471932 | Randall Alan Bischoff | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2005-10-19 |
| 1619582657 | Tarah Schmidt | Student in an Organized Health Care Education/Training Program | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-09-15 |
| 1538778832 | Daniel L Dettman | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-07-23 |
| 1942836978 | Christie Hurst | Licensed Practical Nurse | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-03-21 |
| 1679033112 | Taylor Nichole Singer | Psychologist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-03-21 |
| 1134692361 | Drew Curtis Evans | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-01-10 |
| 1457834814 | Timothy Karnuth | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-09-12 |
| 1598248262 | Oscar Alfredo Garzon | Student in an Organized Health Care Education/Training Program | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-09-10 |
| 1912484684 | Jacob Papenfuss | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-07-25 |
| 1285124644 | Marjorie A Evans | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1285821967 | Jean Marie Anderson | Physical Therapist | 6671a Wildwood Dr, Fort Drum, NY 13603-2053 | 2007-09-26 |
| 1295726818 | Jane W Dingman | Physical Therapist | 11050 Mt Belvedere Blvd, Usa Meddac / Credentials, Fort Drum, NY 13602-5004 | 2005-11-02 |
| 1427048479 | Brian Patrick Sweeney | Physical Therapist | Usa Meddac, Attn: Credentials, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-5004 | 2005-10-21 |
| 1538778832 | Daniel L Dettman | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-07-23 |
| 1831746916 | Lindsay Caroline Wise | Physical Therapist | Usa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-08-22 |
| 1912484684 | Jacob Papenfuss | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-07-25 |
| 1215454855 | Emily Alexis Bartlett | Physical Therapist | Usa Meddac, 11050 Mount Belvedere Boulevard, Fort Drum, NY 13602-5004 | 2017-08-24 |
| 1376067785 | Veronica Rose Lazar | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2017-07-27 |
| 1194245548 | Emily Elizabeth Gaffney | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2017-06-26 |
| Find all providers in FORT DRUM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.