Active NPI
Amanda Hoffman
- Orthopedic Physical Therapist
- Villanova, PA
National Provider Identifier
1457734238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 734 E Lancaster Ave
Villanova, PA 19085 - Phone
- (610) 964-1700
- Fax
- (610) 688-2000
- NPI assigned
- Jun 30, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 41592 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
734 E Lancaster Ave
Villanova, PA 19085
Mailing address
475 Allendale Rd Ste 206
King of Prussia, PA 19406-1495
Other practice location 1
1700 Calfornia St.
Suite 530
San Francisco, CA 94109
Phone (415) 921-1758
Other practice location 2
1700 Calfornia St.
Suite 530
San Francisco, CA 94109
Phone (415) 921-1758
Other names 1
- Amanda Cubbage
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 |
|---|---|---|---|
| 41592 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609372800000",
"number": "1457734238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 ALLENDALE RD STE 206",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194061495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 E LANCASTER AVE",
"city": "VILLANOVA",
"state": "PA",
"postal_code": "19085",
"telephone_number": "610-964-1700",
"fax_number": "610-688-2000"
}
],
"practiceLocations": [
{
"address_1": "1700 Calfornia St.",
"address_2": "Suite 530",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94109",
"country_code": "US",
"telephone_number": "415-921-1758",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 Calfornia St.",
"address_2": "Suite 530",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94109",
"country_code": "US",
"telephone_number": "415-921-1758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFMAN",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-30",
"last_updated": "2020-12-31",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41592",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "CUBBAGE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Villanova, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.