Active NPI
Eric Lee Amiel
- Physical Therapist
- Youngtown, AZ
National Provider Identifier
1407119456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6210
- Practice address
- 12207 N 113TH Ave
Youngtown, AZ 85363-1208 - Phone
- (623) 977-6532
- NPI assigned
- Jun 24, 2012
- Last updated
- Jun 24, 2012
- Sex
- Male
- 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 | 6210 | AZ | Primary |
Addresses
Primary practice location
12207 N 113TH Ave
Youngtown, AZ 85363-1208
Mailing address
7082 W Lone Tree TRL
Peoria, AZ 85383-3043
Phone (623) 556-4737
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6210 | AZ | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340496000000",
"number": "1407119456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7082 W LONE TREE TRL",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853833043",
"telephone_number": "623-556-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12207 N 113TH AVE",
"city": "YOUNGTOWN",
"state": "AZ",
"postal_code": "853631208",
"telephone_number": "623-977-6532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIEL",
"first_name": "ERIC",
"middle_name": "LEE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-24",
"last_updated": "2012-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "6210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngtown, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.