Active NPI
Damon Amato, ATC, CSCS
- Specialist
- Lowell, MA
National Provider Identifier
1235264649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1615
- Practice address
- 176 Walker St
Lowell, MA 01854-3126 - Phone
- (978) 452-9252
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1615 | MA | Primary |
Addresses
Primary practice location
176 Walker St
Lowell, MA 01854-3126
Mailing address
61 Berrington Rd
Leominster, MA 01453-5245
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 |
|---|---|---|---|
| 1615 | MA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235264649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 BERRINGTON RD",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014535245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 WALKER ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018543126",
"telephone_number": "978-452-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMATO",
"first_name": "DAMON",
"name_prefix": "Mr.",
"credential": "ATC, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "1615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
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.