Individual provider Active NPI

Cindya Y Amador

  • Skilled Nursing Facility
  • Woodbridge, VA
National Provider Identifier
1043555097
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2305207723 Issued in VA
Practice address
6070 Ponhill Dr
Woodbridge, VA 22193-3951
Phone
(703) 730-8318
NPI assigned
Dec 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2305207723 VA Primary

Addresses

Primary practice location

6070 Ponhill Dr
Woodbridge, VA 22193-3951

Mailing address

6070 Ponhill Dr
Woodbridge, VA 22193-3951
Phone (703) 730-8318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150126002048 VA Practitioner - Physical Therapist in Private Practice 7012231848 Reassigns benefits to 1 organization
I20150224001182 DC Practitioner - Physical Therapist in Private Practice 7012231848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14951 Keavy PL
Haymarket, VA 20169-4979
Phone (571) 445-4966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services LLC CurrentSince Jan 1, 2015 Accepting new patients
Upgrade Body & Home CurrentSince Mar 1, 2021 Accepting new patients
Gainesville Physical Therapy Incorporated CurrentSince Jul 12, 2021 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

19 1st St
Ste 202
Berryville, VA 22611
Phone (313) 605-4482

6862 Piedmont Center Plz
Gainesville, VA 20155
Phone (703) 754-4690

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

218 Mill Rd
Woodstock, VA 22664
Phone (540) 459-4480

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1043555097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 PONHILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933951",
            "telephone_number": "703-730-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 PONHILL DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933951",
            "telephone_number": "703-730-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADOR",
        "first_name": "CINDYA",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "2305207723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.