Individual provider Active NPI

Amy Trickett, PT

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1184703233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14653 Issued in FL
Practice address
1800 W Woolbright Rd
Suite 101
Boynton Beach, FL 33426-6398
Phone
(561) 733-7677
Fax
(561) 733-7074
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT14653 FL Primary

Addresses

Primary practice location

1800 W Woolbright Rd
Suite 101
Boynton Beach, FL 33426-6398

Mailing address

1800 W Woolbright Rd
Suite 101
Boynton Beach, FL 33426-6398
Phone (561) 733-7677

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

LicenseStateTypeSpecialty
PT14653FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Integrated Manual Physical Therapy, PA Physical Therapist PastSince Sep 1, 2011 Accepting new patients
Gold Coast Physical Therapy Associates LLC 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.

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": "1184703233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W WOOLBRIGHT RD",
            "address_2": "SUITE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266398",
            "telephone_number": "561-733-7677",
            "fax_number": "561-733-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W WOOLBRIGHT RD",
            "address_2": "SUITE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266398",
            "telephone_number": "561-733-7677",
            "fax_number": "561-733-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICKETT",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "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": "FL",
            "license": "PT14653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, 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.

Verify at the official NPI Registry.