Amanda L Walrath, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03212 Issued in IA

Practice address

2462 Johnson Street Rd
Keokuk, IA 52632-9736

Phone

(319) 524-1041

Fax

(319) 524-1041

NPI assigned

Aug 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rose Rehab and Performance PLLCGroup PAC ID 7416311907, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rose Rehab and Performance, PLLC

  • Physical Therapist
  • Keokuk, IA
  • NPI 1962101097
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467463083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2462 JOHNSON STREET RD",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526329736",
            "telephone_number": "319-524-1041",
            "fax_number": "319-524-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 JOHNSON STREET RD",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526329736",
            "telephone_number": "319-524-1041",
            "fax_number": "319-524-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALRATH",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03212",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "112711",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PRIVIDER NUMBER",
            "identifier": "0003432008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Vance, DC
• Kim Vandevoort
• Wal-Mart Stores, Inc. (Vision Center 30-1431)
• Walgreen Co (Walgreens #05886)
• Walmart Inc. (Walmart Pharmacy 10-1431)
• Jamey Lee Washburn, ARNP
• Lindsey Weirather, FNP-C
• Tiffanie M West-Bennett, CADC
• Joseph P Whalen, OT
• Erin L Wheeler, FNP-BC

• Physical Therapist in Keokuk, IA
• Providers in Keokuk, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.