Amy Q Liu, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00348000 Issued in NJ

Practice address

113 Route 73
Voorhees, NJ 08043-9573

Phone

(610) 416-1909

NPI assigned

Oct 11, 2018

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1235604638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BRIDGEBORO RD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571406",
            "telephone_number": "161-041-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ROUTE 73",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439573",
            "telephone_number": "610-416-1909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Marter Ave",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573114",
            "country_code": "US",
            "telephone_number": "610-416-1909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIU",
        "first_name": "AMY",
        "middle_name": "Q",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00348000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahila Lingappan, MD
• Lioudmila Lipetskaia, MD
• Charles Lisa, MD
• Madison Leigh Liss
• Katherine Rose Littleton
• Daniel Liu, M.D.
• Live Love Homecare LLC
• Dan Andrew Lizardo
• Brittany Loatman
• Larry L Lodge, D.P.M.

• Physical Therapy Assistant in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.