Amanda D Wang, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Practice address

6726 Manchester Ave
Saint Louis, MO 63139-3525

Phone

(314) 647-0081

Fax

(314) 647-5485

NPI assigned

May 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Levinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1073832184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 JUNGERMAN CR STE 304",
            "city": "ST. PETERS",
            "state": "MO",
            "postal_code": "63376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 MANCHESTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393525",
            "telephone_number": "314-647-0081",
            "fax_number": "314-647-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "AMANDA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LEVINSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Wamser
• Rachel Ann Wamser, PHD
• Irene Wan, RD, LD
• Andrea Wang-Gillam, MD
• Aline V Wang, MD
• Chang Ye Wang, M.D.
• Chen Wang, MD
• Christine H. Y. Wang, LPC
• Christopher Michael Wang, M.D.
• Chung-Yu Wang, MD

• Pediatric Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatric Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.