Individual provider Active NPI

Amanda M Sheehan, P.T.

  • Physical Therapist
  • White Plains, MD
National Provider Identifier
1356571996
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22999 Issued in MD
Practice address
4470 Regency Place
Suite 100
White Plains, MD 20695
Phone
(301) 934-5336
Fax
(301) 934-0498
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22999 MD Primary

Addresses

Primary practice location

4470 Regency Place
Suite 100
White Plains, MD 20695

Mailing address

4470 Regency Place
Suite 100
White Plains, MD 20695
Phone (301) 934-5336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001002316 NH Practitioner - Physical Therapist in Private Practice 1153476262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Sports Medicine and Orthopaedics, PLLCGroup PAC ID 4082512611, 35 clinicians

Practice addresses (Care Compare)

1 Hampton Rd
Unit 200
Exeter, NH 03833-4855
Phone (603) 775-7575

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
Quality
53.18
Promoting interoperability
79
Improvement activities
40
Cost
79.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4417NHMDDentist
22999MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Sports Medicine & Orthopaedics, PLLC Physical Therapist CurrentSince Aug 29, 2018 Accepting new patients
Access Sports Medicine & Orthopaedics, PLLC CurrentSince Aug 29, 2018 Accepting new patients

Locations

1 Hampton Rd
Unit 200
Exeter, NH 03833
Phone (603) 775-7575

Organizations & group practices 2

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1356571996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 REGENCY PLACE",
            "address_2": "SUITE 100",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "20695",
            "telephone_number": "301-934-5336",
            "fax_number": "301-934-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 REGENCY PLACE",
            "address_2": "SUITE 100",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "20695",
            "telephone_number": "301-934-5336",
            "fax_number": "301-934-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.