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

Mrs. Andrea Lorene Ide, PT

Individual provider Physical Therapist · NPI 1255978540

Mrs. Andrea Lorene Ide, PT is a Physical Therapist in Newark, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1200 Driving Park Ave
Newark, NY 14513-1090
Phone: (315) 332-2289
Fax: (315) 332-2472
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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 024986-1 (NY)

Record details

NPI number1255978540
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 5, 2019
Last updated in NPPESDecember 5, 2019

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