Active NPI
Amanda Marie Doran, PT
- Physical Therapist
- Phila, PA
National Provider Identifier
1245744341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026538
- Practice address
- 1425 Arch St
Phila, PA 19102-1528 - Phone
- (215) 395-8995
- NPI assigned
- Nov 28, 2017
- 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 | PT026538 | PA | Primary |
Addresses
Primary practice location
1425 Arch St
Phila, PA 19102-1528
Mailing address
10501 Academy Rd
Ste N
Phila, PA 19114-1137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200109000084 | PA | Practitioner - Physical Therapist in Private Practice | 4688009236 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aquahab, LP | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Cherry Hill, NJ
- NPI 1205849643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1245744341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 ACADEMY RD",
"address_2": "STE N",
"city": "PHILA",
"state": "PA",
"postal_code": "191141137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 ARCH ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191021528",
"telephone_number": "215-395-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAN",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-28",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.