Colleen A Amedro, PT
Individual provider Active NPI Physical Therapist · Auburn, NY
NPI 1154515260 · NPPES record last updated Sep 14, 2007
Key facts
- NPI
- 1154515260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 029625-1 (NY)
- Practice address
- 182 North St
Auburn, NY 13021-1811 - Phone
- (315) 255-2746
- Fax
- (315) 255-2740
- NPI assigned
- Aug 31, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029625-1 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 029625-1 | NY | Yes |
Addresses
Primary practice location
182 North St
Auburn, NY 13021-1811
Mailing address
182 North St
Auburn, NY 13021-1811
Phone (315) 255-2746
Other names
- Colleen A Flynn
Other providers in Auburn, NY
- Mary B Alley
- Jessica Susan Allison
- Nichelle Alva
- Jennifer Lee Ambrose
- Michaela Ambrose
- Courtney Amedro
- Barbara Lynn Andersen
- Nicole Anderson
- Shehryar Anjum
- Mikayla Antalek
All providers in Auburn, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.