Amanda Phung, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

14302 Winterview Pkwy
Midlothian, VA 23113-4386

Phone

(804) 601-6010

NPI assigned

May 24, 2024

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivyrehab Sept, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1982657433
  Medicare reassignment NPD
• Orthopedic Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Richmond, VA
  • NPI 1376536441
  Medicare reassignment NPD
• Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
  • NPI 1235955709

  Physical Therapist

  NPD

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1316786601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14302 WINTERVIEW PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134386",
            "telephone_number": "804-601-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 W Broad St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232302219",
            "country_code": "US",
            "telephone_number": "804-533-7577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12032 Southshore Pointe Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231122088",
            "country_code": "US",
            "telephone_number": "804-446-4620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5421 Patterson Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232262003",
            "country_code": "US",
            "telephone_number": "804-288-0642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7225 Bell Creek Rd # Stw256A",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231113505",
            "country_code": "US",
            "telephone_number": "804-486-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "AMANDA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216485",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devan Taylor Phelps
• Ben D Phillips, MD
• Jennifer Phillips
• Kassandra Jane Phillips, D.O.
• Michele Jane Phillips, PA-C
• Physical Medicine Associates LTD (National Spine and Pain Centers)
• Physician Assistant Surgical Services
• Isabella Piccininni, RN
• Christopher Picklesimer, PHARMD
• Theresa Ann Picone, LPC

• Physical Therapist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.