Basic Information
Provider Information | |||||||||
NPI: | 1518995489 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | ROTHSCHILD | ||||||||
FirstName: | ANDREW | ||||||||
MiddleName: | SCHAFLANDER | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | DOT | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 9210 ARBORETUM PKWY | ||||||||
Address2: | SUITE 260 | ||||||||
City: | RICHMOND | ||||||||
State: | VA | ||||||||
PostalCode: | 232363472 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8049154602 | ||||||||
FaxNumber: | 8043278496 | ||||||||
Practice Location | |||||||||
Address1: | 8266 ATLEE RD | ||||||||
Address2: | SUITE 133PT | ||||||||
City: | MECHANICSVILLE | ||||||||
State: | VA | ||||||||
PostalCode: | 231161804 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8047302121 | ||||||||
FaxNumber: | 8047300563 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/29/2006 | ||||||||
LastUpdateDate: | 10/06/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 10/06/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 2305000941 | VA | N |   | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |   | 225100000X | 2305204714 | VA | Y |   | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |   |
ID Information
ID | Type | State | Issuer | Description | 010411726 | 05 | VA |   | MEDICAID | 258462 | 01 | VA | SOUTHERN HEALTH | OTHER | 540885859 | 01 | VA | FOCUS | OTHER | 540885859 | 01 | VA | MULTIPLAN | OTHER | 98999 | 01 | VA | OPTIMA HEALTH | OTHER | 1577 | 01 | VA | SH CARENET | OTHER | 192289 | 01 | VA | ANTHEM - HANOVER THERAPY | OTHER |