Individual provider Active NPI

Amanda Ellen Finn Holmes, P.T.

  • Specialist
  • North Chelmsford, MA
National Provider Identifier
1528218682
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15353 Issued in MA
Practice address
20 Research PL Ste 220
North Chelmsford, MA 01863-2455
Phone
(978) 459-6737
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15353 MA Primary

Addresses

Primary practice location

20 Research PL Ste 220
North Chelmsford, MA 01863-2455

Mailing address

13 Paulson Dr
Burlington, MA 01803-2819
Phone (617) 999-3686

Other names 1

  • Amanda Ellen Finn Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060411000577 MA Practitioner - Physical Therapist in Private Practice 0941219430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Federal St
Suite 103
Andover, MA 01810-1038
Phone (978) 459-6737

41 Wellman St
Suite 400
Lowell, MA 01851-5161
Phone 9784596737143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15353MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Gastroenterology Consultants, PC Past Accepting new patients
Raquel K. Perlis Physical Therapy, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amanda.holmes.1@20039.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1528218682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PAULSON DR",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018032819",
            "telephone_number": "617-999-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL STE 220",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632455",
            "telephone_number": "978-459-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "AMANDA",
        "middle_name": "ELLEN FINN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "15353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FINN",
            "middle_name": "ELLEN",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.