Amanda L Marchetti, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI000088 Issued in PA

Practice address

2200 1St Ave
Pottsville, PA 17901-2065

Phone

(570) 628-6950

Fax

(570) 628-4874

NPI assigned

May 1, 2007

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1548481252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 GREEN ST",
            "city": "BROCKTON",
            "state": "PA",
            "postal_code": "179258835",
            "telephone_number": "570-985-6307",
            "fax_number": "570-628-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 1ST AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012065",
            "telephone_number": "570-628-6950",
            "fax_number": "570-628-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHETTI",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE005985",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI000088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Manbeck
• Manor Care of Pottsville PA LLC
• Faran Mansoor, MD
• Frances Judith Lago Manus, M.D.
• Jillian Ann Marcalus, BSN
• Christopher Marcolla
• Sarah Mary Marconis, CRNP
• Danielle Elizabeth Marino, MS, RDN, LDN
• Glen A Marino, MD
• Gabrielle Markiewicz

• Physical Therapy Assistant in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.