Active NPI
Amy Lynn Pohl, PT, DPT
- Physical Therapist
- Waxhaw, NC
National Provider Identifier
1336513985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34040
- Practice address
- 1229 Toteros Dr
Waxhaw, NC 28173-6950 - Phone
- (704) 849-4509
- Fax
- (704) 843-9045
- NPI assigned
- Nov 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P19669 | NC | |
| Physical Therapist | 225100000X | 10298 | SC | |
| Pediatric Physical Therapist | 2251P0200X | 10670 | TN | |
| Physical Therapist | 225100000X | 34040 | FL | Primary |
Addresses
Primary practice location
1229 Toteros Dr
Waxhaw, NC 28173-6950
Mailing address
1921 Ortega St
Navarre, FL 32566-4111
Phone (850) 936-8919
Other names 1
- Amy Lynn Dauman
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 |
|---|---|---|---|
| 34040 | FL | MD | Physical Therapist |
| P19669 | NC | MD | Physical Therapist |
| 10298 | SC | MD | Physical Therapist |
| 10670 | TN | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Physical Therapist | Past | Accepting new patients |
| Milestone Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Gulf Breeze Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1730183153
Physical Therapist
-
- Physical Therapist
- Eldersburg, MD
- NPI 1164427092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1336513985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 ORTEGA ST",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325664111",
"telephone_number": "850-936-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 TOTEROS DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736950",
"telephone_number": "704-849-4509",
"fax_number": "704-843-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POHL",
"first_name": "AMY",
"middle_name": "LYNN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19669",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "10298",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TN",
"license": "10670",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "34040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "DAUMAN",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.