Amanda Slack, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2047 Issued in NH

Practice address

249 County Rd
New London, NH 03257-5795

Phone

(603) 526-5256

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235341421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "GEORGES MILLS",
            "state": "NH",
            "postal_code": "037510018",
            "telephone_number": "603-863-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 COUNTY RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575795",
            "telephone_number": "603-526-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "AMANDA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Schachtner, FNP
• Amy Schneider, MD
• Gina Apicelli Schwartz, MD
• Mary Shain, SLP
• Margaret Shepard, PHD, PMHNP-BC, APRN
• Smart Physical Therapy LLC
• Nancy Smith
• Noah Smith
• Theodore James Smith, M.S., ATC, CSCS
• Shawn Spenard

• Physical Therapist in New London, NH
• Providers in New London, NH by specialty
• Physical Therapist in New Hampshire

• 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.