Active NPI
Amanda Suzan Maffris, PT, DPT
- Physical Therapist
- Mission Viejo, CA
National Provider Identifier
1447720461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295849
- Practice address
- 26471 Crown Valley Pkwy Ste 200
Mission Viejo, CA 92691-6378 - Phone
- (949) 916-2601
- NPI assigned
- Dec 3, 2018
- 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 | 295849 | CA | Primary |
Addresses
Primary practice location
26471 Crown Valley Pkwy Ste 200
Mission Viejo, CA 92691-6378
Mailing address
30 Mikro
Laguna Niguel, CA 92677-8637
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 |
|---|---|---|---|
| 295849 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richards Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1447720461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MIKRO",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926778637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26471 CROWN VALLEY PKWY STE 200",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916378",
"telephone_number": "949-916-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAFFRIS",
"first_name": "AMANDA",
"middle_name": "SUZAN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-03",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "295849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.