Organization Active NPI

Dr Amanda Fisher DPT LLC

Doing business as Empower Your Pelvis

  • Physical Therapist
  • Lee's Summit, MO
National Provider Identifier
1033659610
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
MO2011020078 Issued in MO
Legal business name
DR AMANDA FISHER DPT LLC
Doing business as
Empower Your Pelvis
Practice address
668 SE Bayberry LN Ste 105
Lees Summit, MO 64063-4366
Phone
(816) 434-5180
Fax
(816) 286-4112
NPI assigned
Mar 2, 2017
Last updated
Apr 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Amanda Fisher, PT, DPTNPI 1871881151
Title
Owner/ Physical Therapist
Phone
(314) 303-6962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MO2011020078 MO Primary

Addresses

Primary practice location

668 SE Bayberry LN Ste 105
Lees Summit, MO 64063-4366

Mailing address

668 SE Bayberry LN Ste 105
Lees Summit, MO 64063-4366
Phone (816) 434-5180

Other names 1

  • Empower Your Pelvis Doing business as

National Provider Directory

National Provider Directory

Locations

668 SE Bayberry Ln
Ste 105
Lees Summit, MO 64063
Phone (816) 287-4040

672 SE Bayberry Ln
Ste 101
Lees Summit, MO 64063
Phone (816) 281-7558

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1033659610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 SE BAYBERRY LN STE 105",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634366",
            "telephone_number": "816-434-5180",
            "fax_number": "816-286-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 SE BAYBERRY LN STE 105",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634366",
            "telephone_number": "816-434-5180",
            "fax_number": "816-286-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR AMANDA FISHER DPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "314-303-6962",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "MO2011020078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empower Your Pelvis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.