Active NPI
Amanda Ann Phillips, PT
- Physical Therapist
- Willoughby, OH
National Provider Identifier
1164500344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 35010 Chardon Rd
Ste 100
Willoughby, OH 44094-9010 - Phone
- (440) 951-1910
- Fax
- (440) 951-1940
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
35010 Chardon Rd
Ste 100
Willoughby, OH 44094-9010
Mailing address
18214 Windward Rd
Cleveland, OH 44119-1755
Phone (216) 531-4551
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardinal Physical Therapy and Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
| Menorah Park Center for Senior Living | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Chesterland, OH
- NPI 1427326644
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Beachwood, OH
- NPI 1295938272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164500344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18214 WINDWARD RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441191755",
"telephone_number": "216-531-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35010 CHARDON RD",
"address_2": "STE 100",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440949010",
"telephone_number": "440-951-1910",
"fax_number": "440-951-1940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "AMANDA",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willoughby, OH
Sources for this page
- 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.