Healthcare Provider Details

I. General information

NPI: 1154975225
Provider Name (Legal Business Name): ANDREW COLE DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2019
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 W CARSON ST STE 202-186
TORRANCE CA
90501-2858
US

IV. Provider business mailing address

2825 PLAZA DEL AMO UNIT 118
TORRANCE CA
90503-9380
US

V. Phone/Fax

Practice location:
  • Phone: 310-961-2271
  • Fax:
Mailing address:
  • Phone: 310-961-1609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number297013
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: