Provider Demographics
NPI:1639420425
Name:PIRAINO, ANDREW BENJAMIN (PT, DPT, OCS, CSCS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:BENJAMIN
Last Name:PIRAINO
Suffix:
Gender:M
Credentials:PT, DPT, OCS, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 STAFFORDSHIRE ST APT 411
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4133
Mailing Address - Country:US
Mailing Address - Phone:206-484-1023
Mailing Address - Fax:
Practice Address - Street 1:4500 E SAM HOUSTON PKWY S
Practice Address - Street 2:SUITE 215
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3959
Practice Address - Country:US
Practice Address - Phone:281-487-2786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2016-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA391232251X0800X
TX12573732251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic