Individual provider Active NPI

Amanda Erin Fernandez, DPT, MPH, CSCS

  • Pediatric Physical Therapist
  • Sarasota, FL
National Provider Identifier
1235411679
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT26701 Issued in FL
Practice address
3920 Bee Ridge Rd Unit S
Sarasota, FL 34233-1207
Phone
(941) 867-7463
Fax
(941) 870-3839
NPI assigned
Sep 12, 2011
Last updated
Jun 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 62341 FL
Pediatric Physical Therapist 2251P0200X PT26701 FL Primary

Addresses

Primary practice location

3920 Bee Ridge Rd Unit S
Sarasota, FL 34233-1207

Mailing address

1242 Southbay Dr
Osprey, FL 34229-9718

Other practice location 1

581 rand boulevard
sarasota, FL 34238
Phone (941) 925-6338

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
62341FLMDPhysical Therapist
PT26701FLMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1235411679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 SOUTHBAY DR",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD UNIT S",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331207",
            "telephone_number": "941-867-7463",
            "fax_number": "941-870-3839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "581 rand boulevard",
            "address_purpose": "LOCATION",
            "city": "sarasota",
            "state": "FL",
            "postal_code": "34238",
            "country_code": "US",
            "telephone_number": "941-925-6338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "AMANDA",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "DPT, MPH, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2022-06-10",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "62341",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT26701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.