Individual provider Active NPI

Amanda Leigh Bachmayer, DPT

  • Geriatric Physical Therapist
  • Holland, OH
National Provider Identifier
1487167417
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT016130 Issued in OH
Practice address
1225 Corporate Dr Ste a
Holland, OH 43528-7701
Phone
(419) 866-0555
Fax
(419) 866-0556
NPI assigned
Nov 13, 2017
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT016130 OH Primary

Addresses

Primary practice location

1225 Corporate Dr Ste a
Holland, OH 43528-7701

Mailing address

2021 N McCord Rd
Toledo, OH 43615-3030
Phone (419) 861-4990

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
PT016130OHMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Med1Care, LLC PastSince May 8, 2022 Accepting new patients
Med1Care, LLC PastSince May 1, 2022 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, 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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1487167417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N MCCORD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153030",
            "telephone_number": "419-861-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CORPORATE DR STE A",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287701",
            "telephone_number": "419-866-0555",
            "fax_number": "419-866-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAYER",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "PT016130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.