Active NPI
Amy Urenko, PT
- Physical Therapist
- Harrisburg, PA
National Provider Identifier
1245243757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012031L
- Practice address
- 2501 N 3Rd St
Harrisburg, PA 17110-1904 - Phone
- (717) 782-2344
- Fax
- (717) 782-2360
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012031L | PA | Primary |
Addresses
Primary practice location
2501 N 3Rd St
Harrisburg, PA 17110-1904
Mailing address
118 Washington St
Harrisburg, PA 17104-1677
Phone (717) 231-8539
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT012031L | Other | PA | STATE LICENSE |
| 001917093 0001 | Medicaid | PA |
Other names 1
- Amy Todt
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 |
|---|---|---|---|
| PT012031L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1245243757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WASHINGTON ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041677",
"telephone_number": "717-231-8539",
"fax_number": "717-231-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N 3RD ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101904",
"telephone_number": "717-782-2344",
"fax_number": "717-782-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URENKO",
"first_name": "AMY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT012031L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT012031L",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001917093 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "TODT",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.