Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Edwin Banados Andrada, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1487846614

Mr. Edwin Banados Andrada, PHYSICALTHERAPIST is a Physical Therapist in Macon, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
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Practice location Address checks out

2129 Riverside Dr Ste B
Macon, GA 31204-6900
Phone: (478) 741-9672
Fax: (478) 741-9674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4246 (GA)

Record details

NPI number1487846614
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedAugust 12, 2007
Last updated in NPPESOctober 15, 2007

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