Individual provider Active NPI

Amanda Klink, PT

  • Physical Therapist
  • Belle Vernon, PA
National Provider Identifier
1053525444
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018582 Issued in PA
Practice address
812 Broad Ave
Belle Vernon, PA 15012-1664
Phone
(724) 929-5774
Fax
(724) 929-9524
NPI assigned
May 9, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018582 PA Primary

Addresses

Primary practice location

812 Broad Ave
Belle Vernon, PA 15012-1664

Mailing address

812 Broad Ave
Belle Vernon, PA 15012-1664
Phone (724) 929-5774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000193 PA Practitioner - Physical Therapist in Private Practice 2860543089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

625 Lincoln Ave
Suite 107
North Charleroi, PA 15022-2451
Phone (724) 483-4886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Associates Inc Physical Therapist CurrentSince Jul 1, 2009 Accepting new patients
Mon Vale Orthopedic Group, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Monvale Orthopedics, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Orthopedic & Sports Physical Therapy Associates, Inc. Physical Therapist Current Accepting new patients
Orthopedic and Sports Physical Therapy Associates Inc OT CurrentSince Jul 1, 2009 Accepting new patients

Locations

812 Broad Ave
Belle Vernon, PA 15012
Phone (724) 929-5774

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-1673

1145 Bower Hill Rd
Ste 301
Pittsburgh, PA 15243
Phone (412) 276-7022

500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878

800 Plaza Dr
Ste 400
Rostraver Township, PA 15012
Phone (724) 379-5802

104 Delaware Ave
Ste 103
Uniontown, PA 15401
Phone (724) 425-9668

Organizations & group practices 5

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053525444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121664",
            "telephone_number": "724-929-5774",
            "fax_number": "724-929-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121664",
            "telephone_number": "724-929-5774",
            "fax_number": "724-929-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINK",
        "first_name": "AMANDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.