Provider Demographics
NPI:1619197514
Name:BIGGS, ANDREW F (PT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:F
Last Name:BIGGS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 E BAY ST
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:MS
Mailing Address - Zip Code:39652-2815
Mailing Address - Country:US
Mailing Address - Phone:601-783-0220
Mailing Address - Fax:
Practice Address - Street 1:335 E BAY ST
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:MS
Practice Address - Zip Code:39652-2815
Practice Address - Country:US
Practice Address - Phone:601-783-0220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06615R225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA262279Medicare PIN
MSC03445Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
LA262614YL02Medicare PIN