Active NPI
Amanda Burton
- Physical Therapist
- Danville, AR
National Provider Identifier
1326452202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2782
- Practice address
- 1408 E 8TH St
Suite B
Danville, AR 72833 - Phone
- (479) 495-9982
- Fax
- (479) 495-2622
- NPI assigned
- Jun 18, 2014
- Last updated
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2782 | AR | Primary |
Addresses
Primary practice location
1408 E 8TH St
Suite B
Danville, AR 72833
Mailing address
2155 Destin Dr
Conway, AR 72034-2021
Phone (501) 472-5188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 2782 | Other | AR | LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2782 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1326452202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 DESTIN DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720342021",
"telephone_number": "501-472-5188",
"fax_number": "479-495-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 E 8TH ST",
"address_2": "SUITE B",
"city": "DANVILLE",
"state": "AR",
"postal_code": "72833",
"telephone_number": "479-495-9982",
"fax_number": "479-495-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT2782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT 2782",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.