Provider Demographics
NPI:1932477510
Name:ANDINO, JONATHAN ANDREW (PT, DPT, ATC)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:ANDREW
Last Name:ANDINO
Suffix:
Gender:M
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3400 S WATER ST
Mailing Address - Street 2:ATTN: ATHLETIC TRAINING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2349
Mailing Address - Country:US
Mailing Address - Phone:412-432-7866
Mailing Address - Fax:412-432-7882
Practice Address - Street 1:3400 S WATER ST
Practice Address - Street 2:ATTN: ATHLETIC TRAINING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2349
Practice Address - Country:US
Practice Address - Phone:412-432-7866
Practice Address - Fax:412-432-7882
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2014-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT0235512251S0007X
PART0058002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports