Amanda Michele Gutierrez, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5743 Issued in HI

Practice address

4-901 Kuhio Hwy Ste B
Kapaa, HI 96746-1549

Phone

(808) 826-6000

Fax

(844) 965-9830

NPI assigned

Sep 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Amanda Michele Shuffler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ohana Sports Medicine Kapaa LLC

  • Physical Therapy Clinic/Center
  • Kapaa, HI
  • NPI 1386117927
  NPD
• Rynz Corp.

  • Orthopedic Physical Therapist
  • Hayward, CA
  • NPI 1942258298
  NPD
• Laguna Madre Rehabilitation Center

  • Physical Therapist
  • Port Isabel, TX
  • NPI 1982929246
  NPD (past)
• The Training Room of Trenton LLC

  • Physical Therapist
  • Trenton, MI
  • NPI 1851459085

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1245480177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-901 KUHIO HWY STE B",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461549",
            "telephone_number": "808-826-6000",
            "fax_number": "844-965-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-901 KUHIO HWY STE B",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461549",
            "telephone_number": "808-826-6000",
            "fax_number": "844-965-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "AMANDA",
        "middle_name": "MICHELE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1189508",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501013684",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "5743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "236742",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206938701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACILITY ID",
            "identifier": "30696",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SHUFFLER",
            "middle_name": "MICHELE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Gore
• Jere Mapuana Graham, APRN-BC RX
• Marquita Granda, MSN, FNP-C, PMHNP-BC
• Romeo Randon Guerpo Jr., DPT, PT
• Diane K Guidici, MFT, MIN.
• Pineda Guzman
• Susan L Hall, PH. D.
• Reid Hamamoto, M.D.
• Hannah Finazzo-Krueger
• Haumea Home Health Agency LLC

• Orthopedic Physical Therapist in Kapaa, HI
• Providers in Kapaa, HI by specialty
• Orthopedic Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.