Individual provider Active NPI

Amanda J. Swint, LPTA

  • Physical Therapy Assistant
  • Danville, AR
National Provider Identifier
1447529847
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA2562 Issued in AR
Practice address
410 Main Stree
Danville, AR 72833
Phone
(479) 495-9982
Fax
(479) 495-3407
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA2562 AR Primary

Addresses

Primary practice location

410 Main Stree
Danville, AR 72833

Mailing address

631 Vernon Hill Rd
Booneville, AR 72927-5406
Phone (479) 206-1347

Other identifiers 1

IdentifierTypeStateIssuer
PTA 2562OtherARAR STATE BOARD OF PHYSICAL THERAPY

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

LicenseStateTypeSpecialty
PTA2562ARMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1447529847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 VERNON HILL RD",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729275406",
            "telephone_number": "479-206-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MAIN STREE",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "72833",
            "telephone_number": "479-495-9982",
            "fax_number": "479-495-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINT",
        "first_name": "AMANDA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA2562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR STATE BOARD OF PHYSICAL THERAPY",
            "identifier": "PTA 2562",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.