Amanda Cammack, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2130211 Issued in TX

Practice address

5101 Medical Dr
San Antonio, TX 78229-4801

Phone

(210) 616-0100

NPI assigned

Mar 8, 2019

Last updated

Mar 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1164980033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 ARROW WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562302",
            "telephone_number": "210-854-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294801",
            "telephone_number": "210-616-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6810 Arrow Way",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782562302",
            "country_code": "US",
            "telephone_number": "210-854-0619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4211 Gardendale St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293180",
            "country_code": "US",
            "telephone_number": "210-614-4434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Beckett Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782131372",
            "country_code": "US",
            "telephone_number": "210-998-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMMACK",
        "first_name": "AMANDA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2130211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris A Cameron, MD
• Lisa Ann Cameron, RD
• Sarah Lynne Cameron, M.D.
• Aisha Nazareth Camet Hernandez
• Victor Camilo, RN
• Pamela Ann Camosy, MD
• Giavanni Camp
• Jeffrey K Camp, PTA
• Jimena Camp, M.D
• Joanne Camp, RN

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.