Individual provider Active NPI

Amanda G Arnett, PTA

  • Physical Therapy Assistant
  • Palatka, FL
National Provider Identifier
1487983458
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA 21947 Issued in FL
Practice address
6050 Saint Johns Ave
Suite a
Palatka, FL 32177-6860
Phone
(386) 312-0022
NPI assigned
Dec 21, 2009
Sex
Female
Sole proprietor
Yes

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA 21947FLMDPhysical Therapy Assistant

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
A. Girouard, L.L.C. Past Accepting new patients

Networks

  • Freedom Health HMO Network

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 21947 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

6050 Saint Johns Ave
Suite a
Palatka, FL 32177-6860

Mailing address

360 Oak Ridge TRL
Saint Augustine, FL 32092-2792
Phone (904) 522-0449

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2009.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1487983458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 OAK RIDGE TRL",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922792",
            "telephone_number": "904-522-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 SAINT JOHNS AVE",
            "address_2": "SUITE A",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776860",
            "telephone_number": "386-312-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNETT",
        "first_name": "AMANDA",
        "middle_name": "G",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 21947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.