Provider Demographics
NPI:1750366415
Name:BATT, ANDREA O (PT)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:O
Last Name:BATT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210B EXCHANGE PL NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2300
Mailing Address - Country:US
Mailing Address - Phone:256-325-1566
Mailing Address - Fax:866-795-9204
Practice Address - Street 1:210B EXCHANGE PL NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2300
Practice Address - Country:US
Practice Address - Phone:256-325-1566
Practice Address - Fax:866-795-9204
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000001489225100000X
ALPTH1103225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51074545OtherBLUECROSS BLUESHIELD
AL890001930Medicaid
AL890001930Medicaid