Amanda Tibbetts, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19284 Issued in FL

Practice address

1615 Miami Rd
Ft Lauderdale, FL 33316-2933

Phone

(951) 523-5673

Fax

(954) 467-9580

NPI assigned

Nov 20, 2006

Last updated

Jan 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Behnam Myers DO PA

  dba Spine Solutions

  • Orthopaedic Surgery Physician
  • Hollywood, FL
  • NPI 1174832455
  NPD (past)
• Emerald Hills Rehabilitation Center Inc

  dba The SPORT Clinic

  • Physical Therapy Clinic/Center
  • Hollywood, FL
  • NPI 1922107820

  Physical Therapist

  NPD (past)
• Physical Therapy in Your Home Inc

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
  • NPI 1356353437
  NPD (past)
• Trinity 5 Inc

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1326665084
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1578637427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 VAN BUREN ST",
            "address_2": "APT 218",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207810",
            "telephone_number": "561-704-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MIAMI RD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162933",
            "telephone_number": "951-523-5673",
            "fax_number": "954-467-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBETTS",
        "first_name": "AMANDA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Therapy Institute
• Thrive Wellness Center
• Thrivewell Care, LLC (ThriveWell at Home)
• Thriveworks Clinical - Florida Inc
• Thyme and Company Counseling, LLC
• Kathleen M Ticich, DMD
• Jennifer Tiech, LMHC
• Sean M Tierney, DO
• Tiffany Sizemore DO PA
• Scott Zachary Tilbrook, PA-C

• Physical Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.