Active NPI
Amanda Robertson, DPT
- Physical Therapist
- Twin Falls, ID
National Provider Identifier
1124767124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1444 Falls Ave E
Twin Falls, ID 83301-3408 - Phone
- (208) 736-2574
- NPI assigned
- May 31, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8002 | ID | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1444 Falls Ave E
Twin Falls, ID 83301-3408
Mailing address
1444 Falls Ave E
Twin Falls, ID 83301-3408
Phone (208) 736-2574
Other names 1
- Amanda Barnes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220707000700 | ID | Practitioner - Physical Therapist in Private Practice | 7113307208 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hands-on Physical Therapy PLLC
Practice addresses (Care Compare)
5255 W Overland Rd
Boise, ID 83705-2637
Phone (208) 338-9486
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8002 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands-on Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
5255 W Overland Rd
Boise, ID 83705
Phone (208) 338-9486
Organizations & group practices 1
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": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1124767124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 FALLS AVE E",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013408",
"telephone_number": "208-736-2574",
"fax_number": "208-736-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 FALLS AVE E",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013408",
"telephone_number": "208-736-2574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "AMANDA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "8002",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "BARNES",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.