Provider Demographics
NPI:1013102623
Name:PAPSON, ANDREA (PT,DPT,SCS,ATC,CSCS)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:
Last Name:PAPSON
Suffix:
Gender:F
Credentials:PT,DPT,SCS,ATC,CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 E 70TH ST
Mailing Address - Street 2:HOSPITAL FOR SPECIAL SURGERY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4823
Mailing Address - Country:US
Mailing Address - Phone:212-606-1005
Mailing Address - Fax:212-774-2089
Practice Address - Street 1:525 E 71ST ST
Practice Address - Street 2:BELAIRE BUILDING, GROUND FLOOR -SPORTS PHYSICAL THERAPY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4828
Practice Address - Country:US
Practice Address - Phone:212-606-1005
Practice Address - Fax:212-774-2089
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034453-1225100000X, 225100000X
225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant