Amanda Lynne Ledall, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4065 Issued in NE

Practice address

510 Bradford St
Seward, NE 68434-1708

Phone

(402) 646-2007

Fax

(402) 646-2008

NPI assigned

Jun 16, 2020

Last updated

Jun 16, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Nebraska College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nebraska City Physical Therapy LLCGroup PAC ID 4486836301, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nebraska City Physical Therapy, LLC

  dba Exstrom Physical Therapy

  • Physical Therapy Clinic/Center
  • Nebraska City, NE
  • NPI 1437453164

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Havelock Physical Therapy LLC

  dba Havelock Physical Therapy

  • Physical Therapy Clinic/Center
  • Lincoln, NE
  • NPI 1952638355

  Physical Therapist

  NPD

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1245855170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 S 5TH ST",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684342521",
            "telephone_number": "308-293-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BRADFORD ST",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684341708",
            "telephone_number": "402-646-2007",
            "fax_number": "402-646-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDALL",
        "first_name": "AMANDA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Carl Kruse, DDS
• Matthew Joseph Kunasek, DDS
• Bethany Kusek, M.A. CCC-SLP
• KVC Behaviorall Healthcare Nebraska
• James Clinton Landholm, DDS
• Amber Renee Legband
• Lighted Path Recovery Services
• Kenna Elaine Majerus, PTA
• Maria Beatrice Mazurek
• Jillenne S McAdam, PA-C

• Physical Therapist in Seward, NE
• Providers in Seward, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.