Amanda Lee Fleming, PT

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

2305204535 Issued in VA

Practice address

389 Kane Street
Gate City, VA 24251

Phone

(276) 386-2424

Fax

(276) 386-2349

NPI assigned

Apr 16, 2008

Last updated

Oct 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Amanda Lee Stanley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy Innovations Inc

  dba 1St Step Rehab

  • Rehabilitation Clinic/Center
  • Gate City, VA
  • NPI 1730299447

  Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (Corf)

  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1366616898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1807",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "24251",
            "telephone_number": "276-386-2424",
            "fax_number": "276-386-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 KANE STREET",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "24251",
            "telephone_number": "276-386-2424",
            "fax_number": "276-386-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "VA",
            "license": "2305204535",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204535",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004979681",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4979681",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STANLEY",
            "middle_name": "LEE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haley Dutton
• Melissa F Easterling, ACBSW
• Misty Dawn Edwards, ED.S.
• Family Preservation Services, Inc
• Family Preservation Services, Inc
• Elizabeth Gwynne Fletcher
• Mary Lynn Zazzi Foster, FNP
• Corinne Dolores Gibson, RNC
• Kristi Gilliam, LMSW
• Brooke Ann Goldizen, CCC-SLP

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Gate City, VA
• Providers in Gate City, VA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.