Individual provider Active NPI

Amanda M Basso, PTA

  • Physical Therapist
  • Norristown, PA
National Provider Identifier
1447807144
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
TE012282 Issued in PA
Practice address
2456 W Main St
Norristown, PA 19403-3066
Phone
(610) 630-0101
Fax
(610) 630-1068
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TE012282 PA Primary

Addresses

Primary practice location

2456 W Main St
Norristown, PA 19403-3066

Mailing address

730 S Broad St
Lansdale, PA 19446-5211
Phone (267) 663-7767

Other practice location 1

730 S Broad St
Lansdale, PA 19446-5211
Phone (215) 855-9821

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
TE012282PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Aug 7, 2025 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Aug 25, 2019 Accepting new patients

Locations

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

2456 W Main St
West Norriton, PA 19403
Phone (610) 630-0101

Organizations & group practices 2

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1447807144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465211",
            "telephone_number": "267-663-7767",
            "fax_number": "267-222-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 W MAIN ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194033066",
            "telephone_number": "610-630-0101",
            "fax_number": "610-630-1068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "194465211",
            "country_code": "US",
            "telephone_number": "215-855-9821",
            "fax_number": "215-855-8748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSO",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TE012282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.