Active NPIIndividual providerSole proprietor

Miss Andrena K Afolabi, PTA

Physical Therapy Assistant in Medford, Massachusetts

NPI Number1962692137
Practice location
200 Governors Ave, Medford, MA 02155-1644
Fax
—
Last updated
April 25, 2018

Andrena K Afolabi is a Physical Therapy Assistant based in Medford, MA. Andrena K Afolabi practices in Medford, MA and has the professional credentials of PTA. The NPI Number for Andrena K Afolabi is 1962692137 and holds a License No. 7884 (MA). The current practice location address for Andrena K Afolabi is 200 Governors Ave, Medford, MA 02155-1644 and can be reached out via phone at 781-391-5400.

Provider Profile Details

NPI Number
1962692137
Provider Name
Andrena K Afolabi
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
200 Governors Ave, Medford, MA 02155-1644
Phone Number
781-391-5400
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
July 25, 2007
Last Update Date
April 25, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Governors Ave
Medford, MA 02155-1644
Zip
02155-1644
Phone Number
781-391-5400
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
7061 Sauvage Ln
Gainesville, VA 20155-1682
City
Gainesville
State
VA
Zip
20155-1682
Phone Number
617-504-4071

License Information

License Number (1)
7884
License State (1)
MA
Taxonomy (1)
Physical Therapy Assistant · 225200000X
License Number (2)
A3952
License State (2)
MD
Taxonomy (2)
Physical Therapy Assistant · 225200000X · 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 Miss Andrena K Afolabi, PTA?

The NPI number of Miss Andrena K Afolabi, PTA is 1962692137. It was assigned on July 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Miss Andrena K Afolabi, PTA?

Miss Andrena K Afolabi, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in MA under license number 7884.

Where does Miss Andrena K Afolabi, PTA practice?

The practice location is 200 Governors Ave, Medford, MA 02155-1644. The office can be reached at 781-391-5400 (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 1962692137 directly on the NPPES registry website.

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