Amanda Nielsen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60628646 Issued in WA

Practice address

5420 Barnes Ave NW
Seattle, WA 98107-3839

Phone

(206) 789-7975

Fax

(206) 782-6177

NPI assigned

Jul 8, 2011

Last updated

Apr 5, 2016By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oregon Healthcare Resources LLCGroup PAC ID 4486835477, 160 clinicians

Therapeutic Associates IncGroup PAC ID 0042116279, shared by 5 NPIs, 319 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.nielsen.1@31414.direct.athenahealth.com

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.

• Oregon Healthcare Resources, LLC

  dba Oregon Medical Group

  • Multi-Specialty Clinic/Center
  • Eugene, OR
  • NPI 1982907572
  Medicare reassignment Care Compare group
• Kitsap Physical Therapy and Sports Clinic PS Inc

  • Physical Therapist
  • Silverdale, WA
  • NPI 1912902347
  Medicare reassignment NPD
• Therapeutic Associates Inc

  dba TAI Evergreen Physical Therapy

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1497731244
  Medicare reassignment NPD
• Therapeutic Associates Inc

  dba TAI Mt. Ashland Physical Therapy

  • Physical Therapist
  • Ashland, OR
  • NPI 1972589364
  Medicare reassignment NPD
• Kitsap Physical Therapy and Sports Clinic PS Inc

  • Durable Medical Equipment & Medical Supplies
  • Kingston, WA
  • NPI 1700466083

  Physical Therapist

  NPD
• Therapeutic Associates Inc

  dba TAI - Shoreline Physical Therapy

  • Physical Therapist
  • Shoreline, WA
  • NPI 1659017788
  NPD
• Therapeutic Associates Inc

  dba TAI - Rock Creek

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD
• Therapeutic Associates Inc

  dba TAI Bethany Physical Therapy

  • Physical Therapist
  • Portland, OR
  • NPI 1265418628
  NPD
• Therapeutic Associates Inc

  dba TAI - North Creek

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Therapeutic Associates Inc

  dba TAI Cedar Hills Physical Therapy

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1528355765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "address_2": "SUITE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 BARNES AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073839",
            "telephone_number": "206-789-7975",
            "fax_number": "206-782-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "AMANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6564",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60628646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528355765",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Anne Niedermeyer, ND
• Joseph Niedner
• Kara Niedner
• Makenzie B Nieland
• Allen Scott Nielsen, MD
• Amanda Nicole Nielsen, ARNP
• David Nielsen, LICSW, SUDP-T
• Deborah Jean Nielsen, MFT
• Erik L. Nielsen, OTR/L, CHT
• Jessica C Nielsen

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.