Amanda J Berry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-033567 Issued in AZ

Practice address

6332 W Irma LN
Glendale, AZ 85308-6609

Phone

(630) 309-0279

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Desert Sunshine Mobile Physical Therapy LLC

  • Physical Therapist
  • Glendale, AZ
  • NPI 1164267399
  NPD Authorized official
• Athletic and Therapeutic Institute of Naperville, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Willowbrook, IL
  • NPI 1144331794
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1366534877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 W IRMA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086609",
            "telephone_number": "630-309-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 W IRMA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086609",
            "telephone_number": "630-309-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Bernard
• Alla S Bernstein, PHARM.D
• Karen Lea Berrigan, DMD
• Jessica Aurora Berrio
• Andres Isaiah Berrios
• Julia Gail Berry, OTR/L
• Kathleen M Berry, FNP-BC
• Kayla Berry
• Karen Cheri Berryhill, LMSW
• Eddrena Bertram, PHLEBOTOMIST TECH

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.