Amanda J Sullivan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

00727 Issued in RI

Practice address

71 Millard Rd
North Attleboro, MA 02760-4407

Phone

(508) 838-4090

NPI assigned

Dec 4, 2012

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

Other names 1

• Amanda J Kade Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1275878183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 MILLARD RD",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604407",
            "telephone_number": "508-838-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 MILLARD RD",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027604407",
            "telephone_number": "508-838-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "00727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KADE",
            "middle_name": "J",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tonya Spagnuolo
• Courtney Marie Stoffel
• Devon Stukas, PHARMD, RPH
• Sturdy Health Inc
• Sturdy Health Inc
• Diane Sullivan, LICSW
• Roberta Sullivan
• Sarah Swenor
• Alysse Sylvester
• Talk and Heal Therapy, LLC

• Physical Therapy Assistant in North Attleboro, MA
• Providers in North Attleboro, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.