Active NPI
Amanda Lorraine Warren, PT, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1295271716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.023605
- Practice address
- 5157 N Francisco Ave
Chicago, IL 60625 - Phone
- (773) 878-8200
- NPI assigned
- Jan 7, 2017
- Last updated
- Dec 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1285477 | TX | |
| Physical Therapist | 225100000X | 070.023605 | IL | Primary |
Addresses
Primary practice location
5157 N Francisco Ave
Chicago, IL 60625
Mailing address
1909 W Belle Plaine Ave Unit 2
Chicago, IL 60613-1828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.023605 | IL | MD | Physical Therapist |
| 1285477 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1295271716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 W BELLE PLAINE AVE UNIT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606131828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5157 N FRANCISCO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "773-878-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "AMANDA",
"middle_name": "LORRAINE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-07",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1285477",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.023605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.