MEDICARE: ANDREW MCGINNIS DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP009951T	OK
2	225100000X	Physical Therapist	1293783	TX

General Provider Information

NPI Number	:	1487166583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW MCGINNIS DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-541-5492
Fax Number	:

Provider Business Practice Location Address
First Line	:	3515 W FM 120 STE 103
Second Line	:
City	:	DENISON
State	:	TX
Zip	:	75020-1556
Country	:	US
Telephone Number	:	903-337-1362
Fax Number	:	903-337-1377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	12/28/2021

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