Amy Depner, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1130466 Issued in TX

Practice address

4300 Sigma Rd Ste 130
Dallas, TX 75244-4445

Phone

(972) 756-0500

NPI assigned

Oct 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Amy Baird Former name

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1578074175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SIGMA RD STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SIGMA RD STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444445",
            "telephone_number": "972-756-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPNER",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1130466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BAIRD",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Department of Veteran Affairs
• Department of Veteran Affairs VA North Texas Health Care System
• Department of Veterans Affairs
• Department of Veterans Affairs
• John Andrus Depasse, M.D.
• Gregory Deprisco, M.D.
• Dept of Assistive & Rehab Serv - Dallas Field Headquarters
• Dhvani Derasari
• Jerusalem Desalgn Derbew
• Courtney Kowalczyk Derderian, MD

• Pediatric Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.