Active NPI
Amanda Helen Ford
- Physical Therapist
- San Francisco, CA
National Provider Identifier
1215469325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 292934
- Practice address
- 220 Montgomery St
San Francisco, CA 94104-3402 - Phone
- (415) 986-4979
- NPI assigned
- Mar 29, 2017
- 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 | 292934 | CA | Primary |
Addresses
Primary practice location
220 Montgomery St
San Francisco, CA 94104-3402
Mailing address
3554 Shearer Ave
Cayucos, CA 93430-1837
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
| License | State | Type | Specialty |
|---|---|---|---|
| 292934 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1215469325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3554 SHEARER AVE",
"city": "CAYUCOS",
"state": "CA",
"postal_code": "934301837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 MONTGOMERY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941043402",
"telephone_number": "415-986-4979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "AMANDA",
"middle_name": "HELEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "292934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.