Active NPI
Amanda Dawn Reed, PTA
- Physical Therapy Assistant
- Sumter, SC
National Provider Identifier
1255465415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1045
- Practice address
- 2825 Carter Rd
Sumter, SC 29150-1712 - Phone
- (803) 469-4032
- Fax
- (803) 469-4062
- NPI assigned
- Mar 16, 2007
- 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 Therapy Assistant | 225200000X | 1045 | SC | Primary |
Addresses
Primary practice location
2825 Carter Rd
Sumter, SC 29150-1712
Mailing address
2480 Highway 521 S
Sumter, SC 29153-9793
Phone (803) 481-2732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1045 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255465415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 HIGHWAY 521 S",
"city": "SUMTER",
"state": "SC",
"postal_code": "291539793",
"telephone_number": "803-481-2732",
"fax_number": "803-469-4032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 CARTER RD",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501712",
"telephone_number": "803-469-4032",
"fax_number": "803-469-4062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "AMANDA",
"middle_name": "DAWN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "1045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.