Provider Demographics
NPI:1700088176
Name:FEINGOLD, ANDY (PT)
Entity Type:Individual
Prefix:MR
First Name:ANDY
Middle Name:
Last Name:FEINGOLD
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 1:4601 WHITESBURG DR SE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1676
Mailing Address - Country:US
Mailing Address - Phone:256-883-1734
Mailing Address - Fax:256-883-1677
Practice Address - Street 1:2001 MALLORY LN
Practice Address - Street 2:SUITE 201
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8233
Practice Address - Country:US
Practice Address - Phone:615-373-1350
Practice Address - Fax:615-221-9054
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3002225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01-4518Medicare ID - Type Unspecified