Individual provider Active NPI

Amy B Anderson, DPT

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1255481891
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029958 Issued in PA
Practice address
5590 General Washington Dr
Alexandria, VA 22312-2465
Phone
(703) 914-6718
NPI assigned
Jan 12, 2007
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17790 MA
Physical Therapist 225100000X 2305208012 VA
Physical Therapist 225100000X PT029958 PA Primary

Addresses

Primary practice location

5590 General Washington Dr
Alexandria, VA 22312-2465

Mailing address

1 Trinity Dr E Ste 110
Dillsburg, PA 17019-8522
Phone (717) 432-7719

Other practice location 1

1 Trinity Dr E Ste 110
Dillsburg, PA 17019-8522
Phone (717) 432-7719

Other names 1

  • Amy B Hymes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230705001414 PA Practitioner - Physical Therapist in Private Practice 7911909676 Reassigns benefits to 1 organization
I20240515002260 PA Practitioner - Physical Therapist in Private Practice 7911909676

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab1 LLCGroup PAC ID 3173626272, 79 clinicians

Practice addresses (Care Compare)

129 Walnut Bottom Rd
Shippensburg, PA 17257-8125
Phone (484) 266-0387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305208012VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab1 LLC Physical Therapist CurrentSince Jun 21, 2023 Accepting new patients

Locations

263 Glen Riddle Rd
Media, PA 19063
Phone (610) 358-9933

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

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1255481891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRINITY DR E STE 110",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170198522",
            "telephone_number": "717-432-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 GENERAL WASHINGTON DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122465",
            "telephone_number": "703-914-6718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Trinity Dr E Ste 110",
            "address_purpose": "LOCATION",
            "city": "Dillsburg",
            "state": "PA",
            "postal_code": "170198522",
            "country_code": "US",
            "telephone_number": "717-432-7719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMY",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17790",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208012",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HYMES",
            "middle_name": "B",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.