Active NPI
Amy L Biederman, PTA
- Physical Therapy Assistant
- Boca Raton, FL
National Provider Identifier
1164548467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA729
- Practice address
- 23315 Blue Water Cir
Boca Raton, FL 33433-7053 - Phone
- (561) 368-1033
- Fax
- (561) 955-9640
- NPI assigned
- Mar 21, 2007
- 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 Therapy Assistant | 225200000X | PTA729 | FL | Primary |
Addresses
Primary practice location
23315 Blue Water Cir
Boca Raton, FL 33433-7053
Mailing address
10352 Lima St
Hollywood, FL 33026-4553
Phone (954) 450-1498
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA729 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164548467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10352 LIMA ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330264553",
"telephone_number": "954-450-1498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23315 BLUE WATER CIR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334337053",
"telephone_number": "561-368-1033",
"fax_number": "561-955-9640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEDERMAN",
"first_name": "AMY",
"middle_name": "L",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
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.