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: July 19, 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
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

Taxonomy Code261QR0401X
License Licensed in GA · 4707
3356 VINEVILLE AVE, Macon, GA 31204

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Pain Medicine (Interventional Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Psychiatry & Neurology (Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Pain Medicine (Interventional Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Specialist
3356 VINEVILLE AVE
MACON, GA 31204
Anesthesiology (Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Pain Medicine (Interventional Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Nurse Practitioner (Primary Care)
3356 VINEVILLE AVE
MACON, GA 31204
Clinic/Center (Ambulatory Surgical)
3356 VINEVILLE AVE
MACON, GA 31204
Pain Medicine (Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Physical Therapy Assistant
3356 VINEVILLE AVE
MACON, GA 31204
Pain Medicine (Interventional Pain Medicine)
3356 VINEVILLE AVE
MACON, GA 31204
Nurse Practitioner
3356 VINEVILLE AVE
MACON, GA 31204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861671935, enumerated as an "organization" on October 25, 2007.

The provider is located at 3356 VINEVILLE AVE STE C MACON, GA 31204 and the phone number is (478) 405-7010.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).