Individual provider Active NPI

Amanda Al-Sheikh

  • Physical Therapist
  • Imperial Beach, CA
National Provider Identifier
1154928646
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298975 Issued in CA
Practice address
760 13TH St
Imperial Beach, CA 91932-2308
Phone
(619) 941-2680
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 298975 CA Primary

Addresses

Primary practice location

760 13TH St
Imperial Beach, CA 91932-2308

Mailing address

2883 Rockne St
San Diego, CA 92139-2433

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.silverstrandpt.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298975CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Physical Therapy Inc Physical Therapist CurrentSince Oct 11, 2020 Accepting new patients

Locations

760 13th St
Imperial Beach, CA 91932
Phone (619) 941-2680

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1154928646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 ROCKNE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921392433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 13TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322308",
            "telephone_number": "619-941-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SHEIKH",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.silverstrandpt.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "760 13th St",
            "city": "Imperial Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919322308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Imperial Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.