Amanda K Nolan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1759 Issued in NE

Practice address

1533 Euclid St
Ashland, NE 68003-1243

Phone

(402) 920-2190

NPI assigned

May 2, 2019

Last updated

May 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1427613769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 EUCLID ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031243",
            "telephone_number": "402-920-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 EUCLID ST",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680031243",
            "telephone_number": "402-920-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1759",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Marshall
• Lynell L McWilliams
• Meadows at Ashland LLC
• Lacey Ann Mink, D.C.
• David W Nelson, DPT
• Jackson David Ostdiek
• Raelee D Permenter
• Pamela Ann Piening, OTR/L
• Lani C Polzin, PT
• Sarah Dawn Marie Rainey, DPT

• Physical Therapy Assistant in Ashland, NE
• Providers in Ashland, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.