Amy C Boyer, MPT, MAED, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203760 Issued in VA

Practice address

111 Monticello Ave Ste B
Charlottesville, VA 22902-5698

Phone

(434) 817-4276

Fax

(434) 465-6836

NPI assigned

Feb 8, 2006

Last updated

May 4, 2023By 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 1

Addresses

Other identifiers 4

Other names 1

• Amy C Nickles Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Brody School of Medicine at East Carolina University, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy at AcacGroup PAC ID 7214907211, 52 clinicians

Practice addresses (Care Compare)

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.

• Physical Therapy at Acac

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1205809506
  Medicare reassignment Care Compare group NPD
• Physical Therapy at Acac

  • Occupational Therapist
  • Charlottesville, VA
  • NPI 1497474977
  NPD

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1326011594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-817-7848",
            "fax_number": "434-465-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MONTICELLO AVE STE B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025698",
            "telephone_number": "434-817-4276",
            "fax_number": "434-465-6836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Albemarle Sq",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229017405",
            "country_code": "US",
            "telephone_number": "434-817-7848",
            "fax_number": "434-951-2194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "MPT, MAED, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010147620",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "P00258650",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SERVICES",
            "identifier": "175787",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "3123773",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "NICKLES",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Simon Karnig Boyadjian, D.M.D.
• James C. Boyd
• John D Boyd, PHD
• Michael B. Boyd, M.D.
• William Lawrence Boyd, MD
• Diane Elizabeth Boyer, DNP, PMHNP-BC
• James E Boyer, M.D.
• Jeffrey Scott Boyer, ATC
• Anne E Boyland, NP
• Annelee Boyle, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.