Active NPI
Amanda Jeanne Chisamore, PT
- Physical Therapist
- Liverpool, NY
National Provider Identifier
1477897635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035864
- Practice address
- 718 Old Liverpool Rd
Liverpool, NY 13088-6035 - Phone
- (315) 457-7005
- Fax
- (315) 457-7214
- NPI assigned
- Nov 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 035864 | NY | Primary |
Addresses
Primary practice location
718 Old Liverpool Rd
Liverpool, NY 13088-6035
Mailing address
718 Old Liverpool Rd
Liverpool, NY 13088-6035
Phone (315) 457-7005
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Sports and Orthopedic Physical Therapy, P.C. | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Physical Therapist
- Marcellus, NY
- NPI 1952467177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1477897635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 OLD LIVERPOOL RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130886035",
"telephone_number": "315-457-7005",
"fax_number": "315-457-7214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 OLD LIVERPOOL RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130886035",
"telephone_number": "315-457-7005",
"fax_number": "315-457-7214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISAMORE",
"first_name": "AMANDA",
"middle_name": "JEANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-12",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.