Amanda Pottroff, PT, DPT
Individual provider Active NPI Physical Therapist · Horton, KS
NPI 1154913002 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1154913002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-06647 (KS)
- Practice address
- 1903 Euclid Ave Ste B
Horton, KS 66439-1206 - Phone
- (785) 742-7300
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 11-06647 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrice Chiropractic LLC | Past |
Accepting new patients |
Interoperability endpoints
- amanda.pottroff.1@16424.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-06647 | KS | Yes |
Addresses
Primary practice location
1903 Euclid Ave Ste B
Horton, KS 66439-1206
Mailing address
1903 Euclid Ave Ste B
Horton, KS 66439-1206
Phone (785) 742-2131
Other providers in Horton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. 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.