Provider Demographics
NPI:1740215342
Name:READY, ANDREW J (DPT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:J
Last Name:READY
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 1:111 HYANNIS DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-8336
Mailing Address - Country:US
Mailing Address - Phone:919-303-3331
Mailing Address - Fax:919-303-9199
Practice Address - Street 1:111 HYANNIS DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-8336
Practice Address - Country:US
Practice Address - Phone:919-303-3331
Practice Address - Fax:919-303-9199
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC88752251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC078UFOtherBCBS PROVIDER ID
NC0007875480OtherAETNA
NC711348Medicaid
NC696996OtherUHC PROVIDER ID
NC696996OtherUHC PROVIDER ID