Individual provider Active NPI

Amanda Joy Huggard, MSPT

  • Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1508877655
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2005 Marlton Pike E
Cherry Hill, NJ 08003-1279
Phone
(856) 874-1166
Fax
(856) 874-1188
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Sports Physical Therapist 2251S0007X PT40QA01043200 NJ
Orthopedic Physical Therapist 2251X0800X
Athletic Trainer 2255A2300X

Addresses

Primary practice location

2005 Marlton Pike E
Cherry Hill, NJ 08003-1279

Mailing address

2005 Marlton Pike E
Cherry Hill, NJ 08003-1279
Phone (856) 874-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050207000470 NJ Practitioner - Physical Therapist in Private Practice 2163473273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

1436 Route 70 E
Cherry Hill, NJ 08034-2244
Phone (856) 429-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40QA01043200NJMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist Current Accepting new patients
Ivyrehab Network Inc Physical Therapist CurrentSince Oct 21, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Oct 21, 2021 Accepting new patients

Locations

2005 Route 70 E
Rm Ll
Cherry Hill, NJ 08003
Phone (856) 988-9434

2005 Route 70 E
Cherry Hill, NJ 08003
Phone (609) 714-7733

1436 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 429-8000

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

320 N Haddon Ave
Haddonfield, NJ 08033
Phone (856) 616-8000

201 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 582-3400

101 Lexington Rd
Woolwich Twp, NJ 08085
Phone (856) 886-4655

Organizations & group practices 3

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1508877655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 MARLTON PIKE E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031279",
            "telephone_number": "856-874-1166",
            "fax_number": "856-874-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 MARLTON PIKE E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031279",
            "telephone_number": "856-874-1166",
            "fax_number": "856-874-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGGARD",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "PT40QA01043200",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.