Andrew Tomas Cordova, PT
NPI 1740012111ActiveIndividual· Physical Therapist· Mankato, MN
Physical Therapist (PT) in Mankato, Minnesota, licensed in MN, SC, CO and CT, with an NPI issued in August 2024. Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1740012111 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Aug 15, 2024 |
| Last updated in NPPES | Mar 13, 2026 |
| Certified by provider | Mar 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 13664 | MN |
| Physical Therapist | 225100000X | 12183 | SC |
| Physical Therapist | 225100000X | 19784 | CO |
| Physical Therapist | 225100000X | 14255 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CO); Practitioner - Physical Therapist in Private Practice (MN) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Other Physical Therapist providers in Mankato
- 1487271235
- 1285189589
- 1033589841
- 1912504390
- 1699434829
- 1447620190
- 1245967926
- 1902570245
- 1801854385
- 1154631463
- 1144974965
- 1275839656