Individual provider Active NPI

Amanda G Stanley, DPT

  • Physical Therapist
  • Dunmore, PA
National Provider Identifier
1457608762
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022012 Issued in PA
Practice address
1000 Meade St
Suite 208
Dunmore, PA 18512-3195
Phone
(570) 342-5333
Fax
(570) 342-5334
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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 PT022012 PA Primary

Addresses

Primary practice location

1000 Meade St
Suite 208
Dunmore, PA 18512-3195

Mailing address

354 Main St
Forest City, PA 18421-1418
Phone (570) 785-2018

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Physical Therapy, Inc Physical Therapist CurrentSince Oct 1, 1997 Accepting new patients

Locations

1000 Meade St
Ste 208
Dunmore, PA 18512
Phone (570) 342-5333

354 Main St
Forest City, PA 18421
Phone (570) 785-2018

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1457608762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 MAIN ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211418",
            "telephone_number": "570-785-2018",
            "fax_number": "570-785-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEADE ST",
            "address_2": "SUITE 208",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185123195",
            "telephone_number": "570-342-5333",
            "fax_number": "570-342-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "AMANDA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.