Amanda Kay Anderson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

7708 W Good Hope Rd
Milwaukee, WI 53223-4516

Phone

(414) 541-1118

NPI assigned

Oct 31, 2022

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thera-Dynamics, S.C.

  • Physical Therapy Clinic/Center
  • Milwaukee, WI
  • NPI 1851366983
  NPD

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1235846296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S KINNICKINNIC AVE STE 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532071368",
            "telephone_number": "414-541-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7708 W GOOD HOPE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532234516",
            "telephone_number": "414-541-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 S Kinnickinnic Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532071368",
            "country_code": "US",
            "telephone_number": "414-541-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532272400",
            "country_code": "US",
            "telephone_number": "414-541-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 N 36th St Unit 300",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532083816",
            "country_code": "US",
            "telephone_number": "414-541-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson Assistive Home Care LLC
• Kimberly J Anderson Khan, PSYD
• Tiffany Ann Anderson-Kather, FNP
• Cheryl Anderson-Luckett, LPN
• Regina Robin Anderson-Spann
• Amber Anderson, DPT
• Andrea Anderson, MD
• Angela Anderson
• Anne L Anderson, PA
• Ashley Anderson

• All providers in Milwaukee, WI
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.