MEDICARE: ANDREW R AREY 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	2305209625	VA

General Provider Information

NPI Number	:	1700262755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW R AREY PT, DPT

Provider Business Mailing Address
First Line	:	3455 HIGHWAY 81
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-9138
Country	:	US
Telephone Number	:	770-554-0665
Fax Number	:	770-554-0685

Provider Business Practice Location Address
First Line	:	729 RICHMOND AVE STE A
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-4981
Country	:	US
Telephone Number	:	540-569-2390
Fax Number	:	540-569-2085

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

Provider Enumeration Date	:	07/31/2015
Last Update Date	:	11/08/2019

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