Amanda Lynn Rotondo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

036831 Issued in NY

Practice address

10 Woodbridge Center Dr.
Suite 102
Woodbridge, NJ 07095

Phone

(732) 855-0380

Fax

(732) 855-0384

NPI assigned

Sep 12, 2013

Last updated

Jun 8, 2015By 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 2

Addresses

Other names 1

• Amanda Lynn Gaal Former name

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Precious Movements Physical Therapy PCGroup PAC ID 4183925753, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Precious Movements Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Staten Island, NY
  • NPI 1689051260
  Medicare reassignment Care Compare group Authorized official
• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment NPD

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1437584109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 CRYSTAL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142007",
            "telephone_number": "917-991-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODBRIDGE CENTER DR.",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "07095",
            "telephone_number": "732-855-0380",
            "fax_number": "732-855-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTONDO",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PT,  DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01511000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GAAL",
            "middle_name": "LYNN",
            "credential": "PT,  DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard Edward Constable MD PC
• Stacey Ann Riley, NP
• Dario Rodriguez
• William Rojas
• Jeffrey Harris Rosen, M.D.
• Imer B Ruiz Garcia
• Ryten RX, LLC (The Medicine Shoppe)
• Ryten RX, LLC
• Vanessa A Sabo
• Saker Shoprites Inc. (Shoprite Pharmacy #522)

• Physical Therapist in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.