Active NPI
Amanda George, PT, DPT, OCS
- Physical Therapist
- Middleburg Heights, OH
National Provider Identifier
1033524269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014833
- Practice address
- 17840 Bagley Rd
Middleburg Heights, OH 44130-3401 - Phone
- (440) 655-0070
- NPI assigned
- Jun 26, 2014
- Last updated
- Nov 8, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014833 | OH | Primary |
Addresses
Primary practice location
17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Mailing address
17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone (440) 655-0070
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014833 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Start Inc | 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": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1033524269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17840 BAGLEY RD",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303401",
"telephone_number": "440-655-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17840 BAGLEY RD",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441303401",
"telephone_number": "440-655-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "AMANDA",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "014833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg Heights, OH
- Serafin Cruz Garcia Jr., M.D.
- Barbara Denise Gatz, RPH
- Genesis Brain Health
- Genesis Recovery and Wellness of Ohio (Genesis Recovery & Wellness of Ohio, LLC)
- Genesis Recovery and Wellness of Ohio
- Martina Waguih Naguib Gerges
- Lawrence A Gervasi, MD
- Bartolomeo Giannattasio, MD
- Kathleen E Gibbons, C.R.N.A.
- Jennifer Gibbs, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.