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ANDRADA PHYSICAL THERAPY, INC
NPI 1861671935
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Macon, GA

Active since October 25, 2007
3356 VINEVILLE AVE, STE C, MACON, GA 31204(478) 405-7010(478) 405-7012 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrada Physical Therapy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRADA PHYSICAL THERAPY, INC (NPI 1861671935) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Macon, Georgia and active in the NPI registry since October 2007. The organization lists Edwin Banados Andrada, President, as its authorized official.

NPPES Registry Identity

NPI1861671935
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameANDRADA PHYSICAL THERAPY, INC
Location Address3356 VINEVILLE AVE, STE CMacon, GA 31204-2328
Mailing Address3356 Vineville Ave, Ste CMacon, GA 31204-2328 · (478) 405-7010 · Fax (478) 405-7012
Phone(478) 405-7010
Fax(478) 405-7012
Organization SubpartNo
Authorized OfficialEdwin Banados AndradaPresident · (478) 405-7010
Enumeration DateOctober 25, 2007
Last NPPES UpdateJanuary 10, 2013
✔ NPI 1861671935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
License✔ Licensed in GA · 4707
3356 VINEVILLE AVE, Macon, GA 31204
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JULIAN M EARLS JR. M.D.
Psychiatry & Neurology (Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 476-9886
CHELSEA SIMMS
Nurse Practitioner
3356 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 476-9642
DR. CARLOS JORGE GIRON M.D.
Pain Medicine (Interventional Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 476-9886
MEREDITH FLEENOR NP-C
Nurse Practitioner (Primary Care)
3356 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 476-9642
HOLLIE R HOLLOWAY FNP-C
Pain Medicine (Interventional Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 476-9642
PHARMALAB,LLC
Specialist
3356 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 719-9103
GEORGIA PAIN INSTITUTE. LLC
Pain Medicine (Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 476-9886
DR. GRACE DUQUE-DIZON M.D.
Pain Medicine (Interventional Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Bibb County (478) 476-9642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrada Physical Therapy, Inc's NPI number?

The NPI number for Andrada Physical Therapy, Inc is 1861671935. It was assigned to this organization in the NPPES registry on October 25, 2007.

Where is Andrada Physical Therapy, Inc located?

Andrada Physical Therapy, Inc is located at 3356 Vineville Ave Ste C, Macon, GA 31204. The listed phone number is (478) 405-7010.

What is Andrada Physical Therapy, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Andrada Physical Therapy, Inc was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.