Individual provider Active NPI

Amanda N Keatts, PT

  • Physical Therapist
  • Winchester, VA
National Provider Identifier
1073685954
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1073685954 Issued in VA
Practice address
3127 Valley Ave
Winchester, VA 22601-2635
Phone
(540) 667-1800
NPI assigned
Nov 15, 2006
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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 1073685954 VA Primary

Addresses

Primary practice location

3127 Valley Ave
Winchester, VA 22601-2635

Mailing address

3127 Valley Ave
Winchester, VA 22601-2635
Phone (540) 667-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000246 VA Practitioner - Physical Therapist in Private Practice 8426150137 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
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Elite Therapy Solutions, LLCGroup PAC ID 8921383688, 37 clinicians

Practice addresses (Care Compare)

1705 Amherst St
Suite 203
Winchester, VA 22601-3346
Phone (540) 662-0711

3127 Valley Ave
Winchester, VA 22601-2635
Phone (540) 667-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1073685954VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

983A E Lancaster Ave
Downingtown, PA 19335
Phone (610) 594-2060

3127 Valley Ave
Winchester, VA 22601
Phone (540) 667-1800

Interoperability endpoints

  • Direct secure messaging: amanda.keatts.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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, 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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1073685954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 VALLEY AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012635",
            "telephone_number": "540-667-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 VALLEY AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012635",
            "telephone_number": "540-667-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATTS",
        "first_name": "AMANDA",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "1073685954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.