Individual provider Active NPI

Liz Azucena Amaya, PT, DPT

  • Physical Therapist
  • Berea, OH
National Provider Identifier
1083498455
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020711 Issued in OH
Practice address
201 Front St Ste 104
Berea, OH 44017-1998
Phone
(440) 260-7670
NPI assigned
Aug 24, 2023
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 PT020711 OH Primary

Addresses

Primary practice location

201 Front St Ste 104
Berea, OH 44017-1998

Mailing address

1997 W 47TH St
Cleveland, OH 44102-3413
Phone (818) 809-6510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231031003087 OH Practitioner - Physical Therapist in Private Practice 2365898087 Reassigns benefits to 1 organization
I20260430001223 TX Practitioner - Physical Therapist in Private Practice 2365898087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Physical Therapy TX LLCGroup PAC ID 1658705942, 62 clinicians

Practice addresses (Care Compare)

1700 Commons Circle
Suite 100
Northlake, TX 76226-3999
Phone (817) 498-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients

Locations

3705 State Rd
Ste 102
Ashtabula, OH 44004
Phone (440) 260-7670

201 Front St
Ste 104
Berea, OH 44017
Phone (440) 260-7670

Organizations & group practices 2

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1083498455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 W 47TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023413",
            "telephone_number": "818-809-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FRONT ST STE 104",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171998",
            "telephone_number": "440-260-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAYA",
        "first_name": "LIZ",
        "middle_name": "AZUCENA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.