Amanda D Hermida, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003815 Issued in GA

Practice address

322 Commercial Dr
Savannah, GA 31406-3625

Phone

(912) 499-0836

NPI assigned

Apr 4, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1003312430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 CHAPEL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314066265",
            "telephone_number": "912-433-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COMMERCIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063625",
            "telephone_number": "912-499-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMIDA",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard R Henry, MD
• Engela Gertruida Hepworth, LCSW
• Heritage Behavioral Health, LLC
• Heritage Family Health LLC
• Jason Lane Herlong, M.D.
• Luis Miguel Hernandez Cobian, MD
• Trudicia Herod, RD, LD
• Kayla Miller Herold, PT, DPT
• Alexandria Herrin
• Brent Edward Herrin, D.M.D.

• Physical Therapy Assistant in Savannah, GA
• Providers in Savannah, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.