Amy Evans Wade, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 15667 Issued in FL

Practice address

3910 S Washington Ave
Suite 107
Titusville, FL 32780-5844

Phone

(321) 383-1411

Fax

(321) 383-1477

NPI assigned

Sep 26, 2007

Last updated

Aug 3, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ability Health Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Titusville, FL
  • NPI 1154415669
  NPD (past)
• Ability Health Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Orlando, FL
  • NPI 1992085302
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1336336072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 S WASHINGTON AVE",
            "address_2": "SUITE 107",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805844",
            "telephone_number": "321-383-1411",
            "fax_number": "321-383-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 S WASHINGTON AVE",
            "address_2": "SUITE 107",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327805844",
            "telephone_number": "321-383-1411",
            "fax_number": "321-383-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "AMY",
        "middle_name": "EVANS",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 15667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Villaverde Inc (Riverview Retirement Center)
• Remigio C. Villegas Jr., M.D.
• Vista Manor Health Care Associates LLC (Vista Manor)
• Vista Manor Operating LLC (Vista Manor Healthcare and Rehabilitation Center)
• Katherine Marie Vonniederhausern, PAC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0649)
• Wal-Mart Stores East, LP (Vision Center 30-0649)
• Walgreen Co (Walgreens #04644)
• Walgreen Co (Walgreens #03492)
• Walgreen Co (Parrish Occupational Health Clinic and Pharmacy #15377)

• Physical Therapy Assistant in Titusville, FL
• Providers in Titusville, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.