Provider Demographics
NPI:1235907502
Name:SOMOGYI, ANDREW JOSEPH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JOSEPH
Last Name:SOMOGYI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HEMLOCK LN
Mailing Address - Street 2:
Mailing Address - City:PENN RUN
Mailing Address - State:PA
Mailing Address - Zip Code:15765-6345
Mailing Address - Country:US
Mailing Address - Phone:724-762-7359
Mailing Address - Fax:
Practice Address - Street 1:511 W FM 544 STE 208
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4629
Practice Address - Country:US
Practice Address - Phone:972-578-0306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL41159225100000X
TX1390954225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist