Active NPI
Amanda Kate Ling, PT
- Physical Therapist
- Collierville, TN
National Provider Identifier
1396926481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0000007762
- Practice address
- 930 W Poplar Ave
Ste 5
Collierville, TN 38017-2583 - Phone
- (901) 395-4457
- NPI assigned
- Nov 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0000007762 | TN | Primary |
Addresses
Primary practice location
930 W Poplar Ave
Ste 5
Collierville, TN 38017-2583
Mailing address
7865 Educators LN
Suite 100
Memphis, TN 38133-8191
Phone (901) 213-2900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000007762 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Physical Therapist | Past | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Past | Accepting new patients |
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": "1195257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1396926481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7865 EDUCATORS LN",
"address_2": "SUITE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381338191",
"telephone_number": "901-213-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 W POPLAR AVE",
"address_2": "STE 5",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172583",
"telephone_number": "901-395-4457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LING",
"first_name": "AMANDA",
"middle_name": "KATE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-17",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "0000007762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.