Amber Michelle Wilson, PTA.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160434720 Issued in WA

Practice address

4860 Cordata Pkwy
North Cascades Health and Rehab
Bellingham, WA 98226

Phone

(360) 398-1966

NPI assigned

Aug 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amber Michelle Burch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1245754001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 CORDATA PKWY",
            "address_2": "NORTH CASCADES HEALTH AND REHAB",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "360-398-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 CORDATA PKWY",
            "address_2": "NORTH CASCADES HEALTH AND REHAB",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "360-398-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AMBER",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PTA.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160434720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "BURCH",
            "middle_name": "MICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Timothy Ronald Willmore, PHARMD
• Kendra Jae Wills
• Jeffrey Charles Willson, LMP
• Kristin Janelle Wilson-Key
• Tami Lynn Wilson-Pen
• David Adam Wilson, MD
• Erick J Wilson, PHYSICAL THERAPIST
• Hailey Lynn Wilson
• Hope Elizabeth Wilson
• Jeremy Wilson, LMP

• Physical Therapy Assistant in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.