MEDICARE: DR. ANDREW E MACHLE 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	308614	CA

General Provider Information

NPI Number	:	1477439628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW E MACHLE DPT

Provider Business Mailing Address
First Line	:	3569 NELSON ST
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6850 BROCKTON AVE STE 212
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3815
Country	:	US
Telephone Number	:	951-534-0600
Fax Number	:

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

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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