Amanda Roxanne Lum, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1854 Issued in SC

Practice address

536 Old Howell Rd
Greenville, SC 29615-1969

Phone

(877) 508-3237

Fax

(864) 244-3093

NPI assigned

Apr 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Amanda Roxanne Burns Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144343088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 RED HILL RD",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296719188",
            "telephone_number": "864-878-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151969",
            "telephone_number": "877-508-3237",
            "fax_number": "864-244-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "AMANDA",
        "middle_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BURNS",
            "middle_name": "ROXANNE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brooke Michelle Lugo, LPCA
• Marcia Frazao Luis, FNP
• Benita Luke
• Dejan Lukovic, ACNP
• Anjolie Lulanaj, SLPA
• Brian David Lum, MD
• Lumin Center, LLC
• Katherine Dupre Park Lumpkin, D.O.
• Ilisha Luna
• Susan Pratt Luna, LISW-CP

• Physical Therapy Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.