Amy Huang, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61108314 Issued in WA

Practice address

18005 Black Gold Way
Boyds, MD 20841-6002

Phone

(240) 750-5672

NPI assigned

Jun 4, 2019

Last updated

Mar 22, 2021By 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 2

Addresses

Other names 1

• Amy L Wang Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1265090310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18005 BLACK GOLD WAY",
            "city": "BOYDS",
            "state": "MD",
            "postal_code": "208416002",
            "telephone_number": "240-750-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18005 BLACK GOLD WAY",
            "city": "BOYDS",
            "state": "MD",
            "postal_code": "208416002",
            "telephone_number": "240-750-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "AMY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61108314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WANG",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabrielle Liann Go, DPT
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• Cheryl Ann Imperatore, LMT
• Ali Keshavarz, PHARMD, PHD
• Meeja Kinsey, ATC
• Murray H Kramer, LCSW-C
• Stanley Robert Manstof, DDS

• Physical Therapist in Boyds, MD
• Providers in Boyds, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.