Amber M Fetter, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61267033 Issued in WA

Practice address

1601 E Front St
Port Angeles, WA 98362-4646

Phone

(360) 452-2396

NPI assigned

Aug 16, 2019

Last updated

Oct 4, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1588210389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 RUDOLPHTOWN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432228",
            "telephone_number": "931-920-4333",
            "fax_number": "931-920-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983624646",
            "telephone_number": "360-452-2396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2319 Rudolphtown Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370432228",
            "country_code": "US",
            "telephone_number": "931-920-4333",
            "fax_number": "931-920-4346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FETTER",
        "first_name": "AMBER",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12357",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61267033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Felder, MSN, FNP-C, IBCLC
• Corina Felt
• Mallory P Felz
• Alexandria Lisa Fermanis
• Ellen Ann Fetchiet, MSW
• Lauren Kathleen Fetty, MD
• Jordan Fickas
• Kristina Leigh Finnegan
• First Step Family Support Center
• Julie Fischer, MA

• Physical Therapist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.