Amanda Perkins, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

4104 Vestal Rd
Vestal, NY 13850-3500

Phone

(607) 235-3980

NPI assigned

Aug 2, 2017

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bluebonnet Pediatric Therapy LLC

  • Pediatric Occupational Therapist
  • Boerne, TX
  • NPI 1982358420
  Medicare reassignment NPD

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1306360185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 VESTAL RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 VESTAL RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503500",
            "telephone_number": "607-235-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "AMANDA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taral A Patel, O.D.
• Prodip Kumar Paul, MD
• Aditya Sanjeev Pawaskar, MD
• Heaven Ann-Marie Pentecost-Lewis, MS
• Dennis Perenyi, MD
• Catherine Danielle Perna, MA, CAS, BCBA
• Mark D Perry, PHARM. D.
• Nina Pesante, MD
• Pharmscript LLC
• Stefanie Jean Pickens, LCSWR

• Speech-Language Pathologist in Vestal, NY
• Providers in Vestal, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.