Individual provider Active NPI

Sierra Adams

  • Physical Therapy Assistant
  • Amarillo, TX
National Provider Identifier
1366001612
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2146353 Issued in TX
Practice address
1619 S Kentucky St Ste F600
Amarillo, TX 79102-2215
Phone
(806) 373-2200
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2146353 TX Primary

Addresses

Primary practice location

1619 S Kentucky St Ste F600
Amarillo, TX 79102-2215

Mailing address

6100 SW 45TH Ave Apt 935
Amarillo, TX 79109-5177
Phone (806) 282-4749

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Allscripts

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
2146353TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1366001612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SW 45TH AVE APT 935",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095177",
            "telephone_number": "806-282-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 S KENTUCKY ST STE F600",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022215",
            "telephone_number": "806-373-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2146353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Allscripts",
            "affiliation": "N",
            "address_1": "1619 S Kentucky St Ste F600",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791022215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.