Amy E Waite, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019289-1 Issued in NY

Practice address

14379 Route 9W
Ravena, NY 12143

Phone

(518) 756-3124

Fax

(518) 756-9476

NPI assigned

Nov 11, 2008

Last updated

Jun 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Early Childhood Learning Center, Inc.

  dba Circle of Friends

  • Early Intervention Provider Agency
  • Ravena, NY
  • NPI 1336392216
  NPD (past)

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1285888719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 ROUTE 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120773703",
            "telephone_number": "518-436-7888",
            "fax_number": "518-462-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14379 ROUTE 9W",
            "city": "RAVENA",
            "state": "NY",
            "postal_code": "12143",
            "telephone_number": "518-756-3124",
            "fax_number": "518-756-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019289-1",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "019289-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven L Essig DDS PC
• Dara Teriele
• Victoria Elizabeth Tesch, CCC-SLP
• Brian J Touhey, PHARM.D.
• Karen J Waddingham, RN
• Walgreen Co (Rite Aid #4805)
• Marina Walsh
• Sarah Lynn Watson, BD
• Dawn M Weisburgh, RPH
• Christene E Wenger

• Physical Therapist in Ravena, NY
• Providers in Ravena, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.