Active NPIIndividual provider

Andrea Wasylow, PT/ATC/LAT

Specialist/Technologist, Athletic Trainer in Taunton, Massachusetts

NPI Number1023085735
Practice location
2005 Bay St, Taunton, MA 02780-1085
Fax
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Last updated
July 13, 2026

Andrea Wasylow is a Specialist/Technologist, Athletic Trainer based in Taunton, MA. Andrea Wasylow practices in Taunton, MA and has the professional credentials of PT/ATC/LAT. The NPI Number for Andrea Wasylow is 1023085735 and holds a License No. 9744 (MA). The current practice location address for Andrea Wasylow is 2005 Bay St, Taunton, MA 02780-1085 and can be reached out via phone at 508-828-7265.

Provider Profile Details

NPI Number
1023085735
Provider Name
Andrea Wasylow
Credential
PT/ATC/LAT
Provider Entity Type
Individual
Gender
Female
Address
2005 Bay St, Taunton, MA 02780-1085
Phone Number
508-828-7265
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
March 1, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2005 Bay St
Taunton, MA 02780-1085
Zip
02780-1085
Phone Number
508-828-7265
Taunton, MA 02780Get directions →

Provider Business Mailing Address Details

Address
18 Juniper Ln
Rehoboth, MA 02769-1906
City
Rehoboth
State
MA
Zip
02769-1906

License Information

License Number (1)
9744
License State (1)
MA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
939
License State (2)
MA
Taxonomy (2)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Andrea Wasylow, PT/ATC/LAT?

The NPI number of Andrea Wasylow, PT/ATC/LAT is 1023085735. It was assigned on March 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Andrea Wasylow, PT/ATC/LAT?

Andrea Wasylow, PT/ATC/LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 9744.

Where does Andrea Wasylow, PT/ATC/LAT practice?

The practice location is 2005 Bay St, Taunton, MA 02780-1085. The office can be reached at 508-828-7265 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023085735 directly on the NPPES registry website.

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