Amanda Lynn Grater, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016662L Issued in PA

Practice address

2580 Constitution Blvd
Beaver Falls, PA 15010-1294

Phone

(724) 847-1180

Fax

(724) 847-7592

NPI assigned

Jun 14, 2006

Last updated

Aug 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Lynn Vickodil Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1245273234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 INDIANA AVE",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612025",
            "telephone_number": "724-601-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 CONSTITUTION BLVD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101294",
            "telephone_number": "724-847-1180",
            "fax_number": "724-847-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATER",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016662L",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "PA",
            "license": "DAPT001462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "VICKODIL",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan James Gleason
• Brit Jodon Gocella
• Paul L Goehring, D.P.M.
• Timothy J Goetze, D.O.
• Sarah E Grafton, DMD
• Robert L Grieco, M.D.
• Edward Grisnik, PT
• Guardian Elder Care at Beaver Falls LLC (Beaver Valley Healthcare and Rehabilitation Center)
• Michael T. Guffey, M.D.
• John T. Gump, DC

• Physical Therapist in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.