Active NPI
Amanda Walker, PT
- Orthopedic Physical Therapist
- Sea Girt, NJ
National Provider Identifier
1033595285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 40QA01617000
- Practice address
- 2123 Highway 35
Sea Girt, NJ 08750-1003 - Phone
- (732) 449-2001
- Fax
- (732) 449-2238
- NPI assigned
- Aug 10, 2015
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 40QA01617000 | NJ | Primary |
Addresses
Primary practice location
2123 Highway 35
Sea Girt, NJ 08750-1003
Mailing address
2123 Highway 35
Sea Girt, NJ 08750-1003
Phone (732) 449-2001
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 |
|---|---|---|---|
| 40QA01617000 | NJ | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1033595285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2123 HIGHWAY 35",
"city": "SEA GIRT",
"state": "NJ",
"postal_code": "087501003",
"telephone_number": "732-449-2001",
"fax_number": "732-449-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 HIGHWAY 35",
"city": "SEA GIRT",
"state": "NJ",
"postal_code": "087501003",
"telephone_number": "732-449-2001",
"fax_number": "732-449-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "AMANDA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA01617000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sea Girt, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.