Shawn Anthony Amaya, CRT

Key facts

NPI

1154902013

Entity type

Individual (NPI type 1)

Primary specialty

Certified Respiratory Therapist 227800000X

License

TT14750 (FL)

Practice address

2250 Bedford Rd # Rod
Orlando, FL 32803-1443

Phone

(407) 303-7869

NPI assigned

Apr 21, 2021

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 21, 2021.

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1154902013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40140 SWIFT RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327369560",
            "telephone_number": "954-338-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 BEDFORD RD # ROD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031443",
            "telephone_number": "407-303-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAYA",
        "first_name": "SHAWN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "FL",
            "license": "TT14750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Orlando, FL · Certified Respiratory Therapist in Florida