Amanda Van Dyk, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

43234 Issued in CA

Practice address

5061 Haskell Ave
Encino, CA 91436-1548

Phone

(310) 968-2800

NPI assigned

Jul 20, 2006

Last updated

Sep 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Koa Capital LTD, Inc.

  dba Manual Therapy LA

  • Physical Therapy Clinic/Center
  • Encino, CA
  • NPI 1700427689
  NPD Authorized official
• Koa Capital LTD, Inc.

  dba Manual Therapy LA

  • Physical Therapy Clinic/Center
  • Beverly Hills, CA
  • NPI 1740831908
  NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1487674503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 HASKELL AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361548",
            "telephone_number": "310-968-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 HASKELL AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361548",
            "telephone_number": "310-968-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DYK",
        "first_name": "AMANDA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Value Care Healthcare Services, Inc
• Value Life Mental Health Group
• Valuerx Inc (West Val Pharmacy)
• Erik Valverde
• Peter Theodorus Otto Van Der Heide, DPT
• Tammy Van Fleet, PHD., BCBA-D, CBIS
• Amanda B Van Frank, PT, DPT, ATC, CSCS
• Emily Van Wormer
• Alexsia D Vanegas
• Rachael Winter Vankeuren

• Physical Therapist in Encino, CA
• Providers in Encino, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.