Andrew Ponce, is a
Physical Therapist based in Lexington, Illinois. Andrew Ponce is licensed to practice in Illinois (license number 070.041252) and his current practice location is
429 W Main St Ste B, Lexington, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 365-2500.
NPI number for Andrew Ponce is 1386557254 and his current mailing address is 429 W Main St Ste B, Lexington, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386557254.
Healthcare Provider's Profile
| Full Name | Andrew Ponce |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 429 W Main St Ste B, Lexington, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386557254
- Provider Enumeration Date: 09/23/2026
- Last Update Date: 09/23/2026
Medical Identifiers
Medical identifiers for Andrew Ponce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1386557254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 070.041252 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrew Ponce is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Andrew Ponce, 429 W Main St Ste B, Lexington, IL 61753-1258 Ph: (309) 365-2500 | Andrew Ponce, 429 W Main St Ste B, Lexington, IL 61753-1258 Ph: (309) 365-2500 |
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