Fidalgo Sports and Physiatry

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD32852 Issued in WA

Legal business name

FIDALGO SPORTS AND PHYSIATRY

Practice address

912 32ND St
Suite B
Anacortes, WA 98221-3473

Phone

(360) 293-5603

Fax

(360) 293-6594

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Ellen Amos, MD

Title

Owner

Phone

(360) 293-5603

Specialties & licenses 1

Addresses

Other names 1

• Deborah Amos MD Other name

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1366510745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 32ND ST",
            "address_2": "SUITE B",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213473",
            "telephone_number": "360-293-5603",
            "fax_number": "360-293-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 32ND ST",
            "address_2": "SUITE B",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213473",
            "telephone_number": "360-293-5603",
            "fax_number": "360-293-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDALGO SPORTS AND PHYSIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-293-5603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD32852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deborah Amos MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fidalgo Island Chiropractic Clinic
• Fidalgo Island Pediatric Occupational Therapy Services PLLC
• Fidalgo Island Walk-in Clinic
• Fidalgo Medical Associates PLLC
• Fidalgo Pharmacy Services, Inc
• Dana Marie Fischer, MA00024010
• Janet Fischer, LSWAA
• Vicki Fishfader
• Ellen L Fitch
• Kelly Allison Fitzgerald, M.S.

• Physical Medicine & Rehabilitation Physician in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.