Individual provider Active NPI

Amanda Lee Cordeiro

  • Physical Therapist
  • Fall River, MA
National Provider Identifier
1093239394
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
387 Quarry St Ste 102
Fall River, MA 02723-1026
Phone
(508) 324-9300
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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 Primary

Addresses

Primary practice location

387 Quarry St Ste 102
Fall River, MA 02723-1026

Mailing address

11 Sevigny St
Fall River, MA 02723-2336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019000047 MA Practitioner - Physical Therapist in Private Practice 2769758788 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Total Health PCGroup PAC ID 5890075287, 4 clinicians

Practice addresses (Care Compare)

307 S Main St
Fall River, MA 02721-5309
Phone (508) 675-2840

524 Union St
New Bedford, MA 02740-3546
Phone (508) 675-2840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Orthopaedic PC Physical Therapist CurrentSince Sep 15, 2020 Accepting new patients
Total Health, P.C. CurrentSince Feb 4, 2025 Accepting new patients
National Physical Therapy, Inc. CurrentSince Sep 16, 2017 Accepting new patients
LC Holbrook, Inc. Physical Therapist CurrentSince Sep 16, 2017 Accepting new patients

Locations

49 Pearl St
Brockton, MA 02301
Phone (508) 580-9995

307 S Main St
Fall River, MA 02721
Phone (508) 675-2840

387 Quarry St
Ste 102
Fall River, MA 02723
Phone (508) 324-9300

169 N Franklin St
Holbrook, MA 02343
Phone (781) 767-5200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1093239394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SEVIGNY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027232336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST STE 102",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231026",
            "telephone_number": "508-324-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDEIRO",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.