Individual provider Active NPI

Amanda Lynn Burkhardt, PT, MPT

  • Pediatric Physical Therapist
  • Surprise, AZ
National Provider Identifier
1346490372
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
8173 Issued in AZ
Practice address
15116 N Cotton LN
Surprise, AZ 85388-9618
Phone
(623) 322-8250
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Pediatric Physical Therapist 2251P0200X 8173 AZ Primary

Addresses

Primary practice location

15116 N Cotton LN
Surprise, AZ 85388-9618

Mailing address

15116 N Cotton LN
Surprise, AZ 85388-9618
Phone (623) 322-8250

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

LicenseStateTypeSpecialty
8173AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
T.E.a.M. 4 Kids, LLC Pediatrics CurrentSince Jul 21, 2024 Accepting new patients

Locations

1585 N 113th Ave
Ste 102
Avondale, AZ 85392
Phone (623) 204-1701

20470 N Lake Pleasant Rd
Ste 107
Peoria, AZ 85382
Phone (623) 248-3324

15116 N Cotton Ln
Surprise, AZ 85388
Phone (623) 322-8250

15508 W Bell Rd
Ste 101261
Surprise, AZ 85374
Phone (602) 441-5975

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1346490372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15116 N COTTON LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889618",
            "telephone_number": "623-322-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15116 N COTTON LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889618",
            "telephone_number": "623-322-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHARDT",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "8173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.