Amanda Marie Agtuca, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2000027 Issued in DC

Practice address

2601 18TH St NE
Washington, DC 20018-1301

Phone

(202) 541-6200

NPI assigned

May 12, 2023

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

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1518657477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MEADOWVIEW DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502053",
            "telephone_number": "812-944-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 18TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181301",
            "telephone_number": "202-541-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGTUCA",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A04332",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DC",
            "license": "PTA2000027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Agrawal, DO
• Shantanu Kumar Agrawal, MD
• Sharad Agrawal, M.D.
• Surbhi Agrawal, MD
• Janice Agricola, MA IN ED, EIS
• Kate Nkiru Agu, REGISTERED NURSE
• Peace Chiamaka Agu
• Lydia Aguas
• Adesua Aguele
• Chinelo Agugua

• Physical Therapy Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapy Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.