Amanda Jackson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT022865 Issued in PA

Practice address

500 Philadelphia Ave
Shillington, PA 19607-2764

Phone

(610) 796-7022

NPI assigned

Nov 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Aucker Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Phoebe Corporate and Community Based Services Inc

  • Rehabilitation Clinic/Center
  • Wernersville, PA
  • NPI 1457617813
  Medicare reassignment NPD
• Rehab1 LLC

  • Physical Therapist
  • West Chester, PA
  • NPI 1902976855
  Medicare reassignment NPD
• Phoebe Corporate & Community Based Services

  • Health Service Clinic/Center
  • Wernersville, PA
  • NPI 1558733378
  NPD
• Phoenix Rehabilitation and Health Services, Inc.

  • Physical Therapist
  • Cranberry Township, PA
  • NPI 1720084155
  NPD (past)

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1477982106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072764",
            "telephone_number": "610-796-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "AUCKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marika Sian Horacek-Kunkle, ATR-BC, LPC
• Constance Humberston
• I Am Here, LLC
• Insightful Expressions
• Insite Health
• Matthew Christopher Johns, B.S., D.C.
• Thomaisina Johnson, LIFE COACH/CLERGY
• Sabrina Key, MASTERS DEGREE
• Laura Grace Kline
• Maria Sheila Teves Lagtapon, P.T.

• Physical Therapist in Shillington, PA
• Providers in Shillington, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.