Healthcare Provider Details

I. General information

NPI: 1194633941
Provider Name (Legal Business Name): ANDREW JOSEPH FIGUEIREDO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 FAIRLAND RD
SILVER SPRING MD
20904-5427
US

IV. Provider business mailing address

102 PARK AVE APT 307
GAITHERSBURG MD
20877-2941
US

V. Phone/Fax

Practice location:
  • Phone: 717-385-9142
  • Fax:
Mailing address:
  • Phone: 717-385-9142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA4888
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: