Amanda Lubetich, PTA
Individual provider Active NPI Physical Therapy Assistant · Simi Valley, CA
NPI 1457724395 · NPPES record last updated Oct 31, 2015
Key facts
- NPI
- 1457724395
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 10449 (CA)
- Practice address
- 4050 Helene St
Simi Valley, CA 93063-2817 - Phone
- (805) 587-8580
- NPI assigned
- Oct 31, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10449 | CA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 10449 | CA | Yes |
Addresses
Primary practice location
4050 Helene St
Simi Valley, CA 93063-2817
Mailing address
4050 Helene St
Simi Valley, CA 93063-2817
Phone (805) 587-8580
Other providers in Simi Valley, CA
- Love & Comfort Hospice Inc
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- Stephanie Marie Low
- Loyal Home Health Care, Inc.
- Carmel Jasmin Lua
- Andrew Luckey III
- Lucky Riders Inc.
- Katelyn Marie Luong-Ficenec
- Luxottica of America Inc.
- Luxottica of America Inc.
All providers in Simi Valley, CA · Physical Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.