Individual provider Active NPI

Amy Lynn Werner, P.T., D.P.T.

  • Physical Therapist
  • Cleburne, TX
National Provider Identifier
1477858033
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1202788 Issued in TX
Practice address
1014 N Nolan River Rd
Cleburne, TX 76033-7935
Phone
(817) 641-8617
Fax
(817) 645-6966
NPI assigned
Jan 12, 2011
Last updated
Mar 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1202788 TX Primary
Sports Physical Therapist 2251S0007X 1202788 TX
Orthopedic Physical Therapist 2251X0800X 1202788 TX

Addresses

Primary practice location

1014 N Nolan River Rd
Cleburne, TX 76033-7935

Mailing address

1014 N Nolan River Rd
Cleburne, TX 76033-7935
Phone (817) 641-8617

Other names 1

  • Ms. Amy Lynn Van Dyk Former name

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

LicenseStateTypeSpecialty
1202788TXMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cleburne Physical Therapy & Sports Rehabilitation, Inc. Physical Therapist PastSince Apr 1, 2001 Accepting new patients

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": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1477858033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 N NOLAN RIVER RD",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337935",
            "telephone_number": "817-641-8617",
            "fax_number": "817-645-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 N NOLAN RIVER RD",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337935",
            "telephone_number": "817-641-8617",
            "fax_number": "817-645-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1202788",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1202788",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1202788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "VAN DYK",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.