Active NPI
Amanda Siu, PT, DPT
- Physical Therapist
- Wilmington, MA
National Provider Identifier
1588106926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22432
- Practice address
- 1 Olson St
Unit 3
Wilmington, MA 01887-2450 - Phone
- (888) 531-2204
- Fax
- (855) 232-8604
- NPI assigned
- Nov 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22432 | MA | Primary |
Addresses
Primary practice location
1 Olson St
Unit 3
Wilmington, MA 01887-2450
Mailing address
1 Olson St
Unit 3
Wilmington, MA 01887-2450
Phone (888) 531-2204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22432 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1588106926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OLSON ST",
"address_2": "UNIT 3",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018872450",
"telephone_number": "888-531-2204",
"fax_number": "855-232-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OLSON ST",
"address_2": "UNIT 3",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018872450",
"telephone_number": "888-531-2204",
"fax_number": "855-232-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIU",
"first_name": "AMANDA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-16",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.