Amanda McCallum, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007590 Issued in WA

Practice address

17615 SE 272ND St
Suite 110
Covington, WA 98042-4957

Phone

(253) 639-2266

Fax

(253) 639-8464

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574
  Medicare reassignment Care Compare group NPD
• Pinnacle Therapy Group

  • Physical Therapist
  • Maple Valley, WA
  • NPI 1225116916
  NPD
• Balance Physical Therapy Inc, P.S.

  • Physical Therapist
  • Issaquah, WA
  • NPI 1710197090
  NPD (past)
• Public Hospital District #1 of King County

  • Rehabilitation Hospital Unit
  • Renton, WA
  • NPI 1811063308
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073636262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17615 SE 272ND ST",
            "address_2": "SUITE 110",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424957",
            "telephone_number": "253-639-2266",
            "fax_number": "253-639-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17615 SE 272ND ST",
            "address_2": "SUITE 110",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424957",
            "telephone_number": "253-639-2266",
            "fax_number": "253-639-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "AMANDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Rogers Marckel, PAC
• Wade K Marler, DDS
• Marquis Massage Group, LLC
• Camille Martin
• Alex Martinez
• Courtney A. McCliment, RD
• Kelly A. McGinnis, MD
• Alexandria Michelle McKay, DO
• Medical Imaging Northwest
• Uday Kantilal Mehta, M.D.

• Physical Therapist in Covington, WA
• Providers in Covington, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.