Provider Demographics
NPI:1235374083
Name:ARANJO, ANDREW R (DPT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:R
Last Name:ARANJO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1377 MOTOR PKWY
Mailing Address - Street 2:STE 307
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-5258
Mailing Address - Country:US
Mailing Address - Phone:610-580-5200
Mailing Address - Fax:631-760-8306
Practice Address - Street 1:2966 STREET RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2604
Practice Address - Country:US
Practice Address - Phone:215-639-2639
Practice Address - Fax:215-929-2464
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019595225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3745110000OtherIBC
PA2122909OtherHIGHMARK PABS
30068692OtherKEYSTONE MERCY
PA102404700-0001Medicaid
306060OtherUNISON
PAP00905395Medicare PIN
PA176068VLZMedicare PIN