Amanda Bieber
Individual provider Active NPI Physical Therapy Assistant · Tower Hill, IL
NPI 1275928640 · NPPES record last updated Apr 2, 2015
Key facts
- NPI
- 1275928640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160003099 (IL)
- Practice address
- 648 N 1100 East Rd
Tower Hill, IL 62571-4126 - Phone
- (217) 567-3171
- NPI assigned
- Apr 2, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160003099 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160003099 | IL | Yes |
Addresses
Primary practice location
648 N 1100 East Rd
Tower Hill, IL 62571-4126
Mailing address
648 N 1100 East Rd
Tower Hill, IL 62571-4126
Phone (217) 567-3171
Other providers in Tower Hill, IL
All providers in Tower Hill, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.