Amanda Jean Brooks, DPT
Individual provider Active NPI Physical Therapist · Mansfield, OH
NPI 1245475227 · NPPES record last updated Sep 4, 2014
Key facts
- NPI
- 1245475227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 012249 (OH)
- Practice address
- 1025 S Trimble Rd
Attn: Credentials
Mansfield, OH 44906-3427 - Phone
- (419) 529-6323
- Fax
- (419) 529-6318
- NPI assigned
- Dec 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 012249 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 012249 | OH | Yes |
Addresses
Primary practice location
1025 S Trimble Rd
Attn: Credentials
Mansfield, OH 44906-3427
Mailing address
1025 S Trimble Rd
Attn: Credentials
Mansfield, OH 44906-3427
Phone (419) 529-6323
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.