Individual provider Active NPI

Amanda Nikiel, PT, DPT

  • Orthopedic Physical Therapist
  • Monterey, CA
National Provider Identifier
1487012969
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
291564 Issued in CA
Practice address
929 Pacific Street
Monterey, CA 93940-9394
Phone
(831) 373-1209
NPI assigned
Jan 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 291564 CA Primary

Addresses

Primary practice location

929 Pacific Street
Monterey, CA 93940-9394

Mailing address

8250 Colonial Dr
Niagara Falls, NY 14304-1058
Phone (716) 807-2282

Other practice location 1

315 Oxford St
Worthington, MN 56187-1601
Phone (507) 372-2232

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

OrganizationSpecialtyStatusNew patients
Prairie Rehabilitation Services, Inc. PastSince Aug 28, 2022 Accepting new patients
Prairie Rehabilitation Services, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1487012969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 COLONIAL DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041058",
            "telephone_number": "716-807-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 PACIFIC STREET",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939409394",
            "telephone_number": "831-373-1209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Oxford St",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "MN",
            "postal_code": "561871601",
            "country_code": "US",
            "telephone_number": "507-372-2232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKIEL",
        "first_name": "AMANDA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "291564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.