Individual provider Active NPI

Amanda Renee Martinec, PTA

  • Physical Therapy Assistant
  • Franklin, PA
National Provider Identifier
1225331630
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TEI004136 Issued in PA
Practice address
351 Causeway Dr
Franklin, PA 16323-5523
Phone
(814) 437-0147
NPI assigned
Dec 8, 2010
Last updated
Apr 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE002659L PA
Physical Therapy Assistant 225200000X TEI004136 PA Primary

Addresses

Primary practice location

351 Causeway Dr
Franklin, PA 16323-5523

Mailing address

105 Dittman Dr
Oil City, PA 16301-4903

Other practice location 1

100 Fairfield Dr
Seneca, PA 16346-2130
Phone (814) 676-7600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UPMCSugarCreekStation@upmcdirect.com Health Information Exchange (HIE)

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
TE002659LPAMDPhysical Therapy Assistant
TEI004136PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1225331630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DITTMAN DR",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163014903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 CAUSEWAY DR",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163235523",
            "telephone_number": "814-437-0147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Fairfield Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "PA",
            "postal_code": "163462130",
            "country_code": "US",
            "telephone_number": "814-676-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEC",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE002659L",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI004136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCSugarCreekStation@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure UPMC direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "351 Causeway Dr",
            "city": "Franklin",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163235523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.