MEDICARE: ANDREA KAY IVEY PT, 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	1214862	TX

General Provider Information

NPI Number	:	1073886529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA KAY IVEY PT, DPT

Provider Business Mailing Address
First Line	:	1015 N CARROLL AVE
Second Line	:	STE 104
City	:	DALLAS
State	:	TX
Zip	:	75204-6613
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 N CARROLL AVE
Second Line	:	STE 104
City	:	DALLAS
State	:	TX
Zip	:	75204-6613
Country	:	US
Telephone Number	:	214-887-6580
Fax Number	:

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

Provider Enumeration Date	:	02/14/2012
Last Update Date	:	02/14/2012

Similar Medicare Providers

1851116461 — ALLISON NICOLE LOSEE LCSW
Practice Location Address:

1015 N CARROLL AVE
DALLAS, TX
75204-6613

Practice Phone: 214-887-6580
Practice Fax:

1083615223 — DR. DONALD O OZUMBA MD
Practice Location Address:

1015 N CARROLL AVE , SUITE #2000
DALLAS, TX
75204-6613

Practice Phone: 214-824-7744
Practice Fax: 214-824-7755

1730137225 — DR. TANDY RICE FREEMAN III M.D.
Practice Location Address:

1015 N CARROLL AVE , SUITE 103
DALLAS, TX
75204-6613

Practice Phone: 469-718-0900
Practice Fax: 469-802-8560

1699038562 — STEPHANIE STEPHENS MD PA
Practice Location Address:

1015 N CARROLL AVE , SUITE 2000
DALLAS, TX
75204-6613

Practice Phone: 214-824-7744
Practice Fax: 214-824-7755

1184049546 — DR. JASON RANDALL WISHIN SR. PT
Practice Location Address:

1015 N CARROLL AVE , SUITE 104
DALLAS, TX
75204-6613

Practice Phone: 214-887-6580
Practice Fax:

1235502048 — MS. LAUREN ELYSE PENN
Practice Location Address:

1015 N CARROLL AVE , #2000
DALLAS, TX
75204-6613

Practice Phone: 214-385-4860
Practice Fax:

Directions to “ ANDREA KAY IVEY PT, DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.