Active NPI
Amanda Royce-Tolland, DPT
- Physical Therapist
- Lynn, MA
National Provider Identifier
1437517620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18827
- Practice address
- 1 Market St
3Rd Floor
Lynn, MA 01901-1011 - Phone
- (781) 592-0540
- NPI assigned
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 18827 | MA | Primary |
Addresses
Primary practice location
1 Market St
3Rd Floor
Lynn, MA 01901-1011
Mailing address
8 Rogers Ave
Apartment 8
Lynn, MA 01902-3803
Phone (508) 951-1901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18827 | Medicaid | MA |
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 |
|---|---|---|---|
| 18827 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1437517620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 ROGERS AVE",
"address_2": "APARTMENT 8",
"city": "LYNN",
"state": "MA",
"postal_code": "019023803",
"telephone_number": "508-951-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MARKET ST",
"address_2": "3RD FLOOR",
"city": "LYNN",
"state": "MA",
"postal_code": "019011011",
"telephone_number": "781-592-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYCE-TOLLAND",
"first_name": "AMANDA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "18827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18827",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.