Active NPI
Amanda King, MT
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Indiana, PA
National Provider Identifier
1023289600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- License
- CO250596
- Practice address
- 570 Philadelphia St
Indiana, PA 15701-3928 - Phone
- (724) 464-5341
- NPI assigned
- Mar 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | CO250596 | PA | Primary |
| Massage Therapist | 225700000X |
Addresses
Primary practice location
570 Philadelphia St
Indiana, PA 15701-3928
Mailing address
1597 Clarksburg Rd
Clarksburg, PA 15725-7748
Phone (724) 464-5341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO250596 | PA | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L'Therapy Group LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1023289600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1597 CLARKSBURG RD",
"city": "CLARKSBURG",
"state": "PA",
"postal_code": "157257748",
"telephone_number": "724-464-5341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 PHILADELPHIA ST",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013928",
"telephone_number": "724-464-5341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-21",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "PA",
"license": "CO250596",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.