Amanda Aguilar, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4059280 Issued in TX

Practice address

203 E College Ave Ste a
Devine, TX 78016-2940

Phone

(830) 663-5397

Fax

(830) 663-5359

NPI assigned

Jun 9, 2019

Sex

Female

Sole proprietor

Yes

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.

• Dynamic Physical Therapy Orthopedic Spine and Sports, PLLC

  • Physical Therapist
  • Devine, TX
  • NPI 1295156792
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2019.

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560038400000",
    "number": "1043879596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E COLLEGE AVE STE A",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780162940",
            "fax_number": "830-663-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E COLLEGE AVE STE A",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780162940",
            "telephone_number": "830-663-5397",
            "fax_number": "830-663-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "AMANDA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2019-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "4059280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Pardo Anderson, LVN
• Lacy Marie Beach, COTA
• Martha Beltran, LAB TECHNICIAN
• Katelyn Blanton, LPC-ASSOCIATE
• BNZ Healthcare

• All providers in Devine, TX
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; 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.