Active NPI
Amanda L Pacheco, DPT
- Physical Therapist
- Yardley, PA
National Provider Identifier
1104173293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-020962
- Practice address
- 301 Oxford Valley Rd
Yardley, PA 19067-7706 - Phone
- (215) 493-1306
- Fax
- (215) 493-2753
- NPI assigned
- Aug 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-020962 | PA | Primary |
Addresses
Primary practice location
301 Oxford Valley Rd
Yardley, PA 19067-7706
Mailing address
3333 Lancashire Rd
Furlong, PA 18925-1256
Phone (609) 941-4295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-020962 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1104173293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 LANCASHIRE RD",
"city": "FURLONG",
"state": "PA",
"postal_code": "189251256",
"telephone_number": "609-941-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 OXFORD VALLEY RD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190677706",
"telephone_number": "215-493-1306",
"fax_number": "215-493-2753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "AMANDA",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-020962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.