Individual provider Active NPI

Amanda Donahue, PT, DPT

  • Physical Therapist
  • Worcester, MA
National Provider Identifier
1265216113
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27033 Issued in MA
Practice address
93 Stafford St
Worcester, MA 01603-1459
Phone
(508) 593-1890
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27033 MA Primary

Addresses

Primary practice location

93 Stafford St
Worcester, MA 01603-1459

Mailing address

160 Fremont St Unit 414
Worcester, MA 01603-2376
Phone (774) 278-1274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230907001824 MA Practitioner - Physical Therapist in Private Practice 7719341890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27033MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Physical Therapy Inc Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients

Locations

406R Washington St
Holliston, MA 01746
Phone (508) 429-4940

204 Worcester St
North Grafton, MA 01536
Phone (508) 887-8888

110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336

93 Stafford St
Worcester, MA 01603
Phone (508) 593-1890

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1265216113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FREMONT ST UNIT 414",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016032376",
            "telephone_number": "774-278-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 STAFFORD ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031459",
            "telephone_number": "508-593-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "27033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.