Cheryl Ann Amendola, PT
Individual provider Active NPI Physical Therapist · West Haven, CT
NPI 1609802602 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609802602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 006228 (CT)
- Practice address
- 950 Campbell Ave
West Haven, CT 06516-2770 - Phone
- (203) 932-5711
- Fax
- (203) 937-4707
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006228 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Services of Guilford LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006228 | CT | Yes |
Addresses
Primary practice location
950 Campbell Ave
West Haven, CT 06516-2770
Mailing address
950 Campbell Ave
West Haven, CT 06516-2770
Other providers in West Haven, CT
- Allison Marie Altenburger
- Andreina Alvarez
- Megan Laura Alworth
- Julia I Amann
- Joseph Anthony Amatruda
- Jennifer Obrien Anastasio
- Jaimie L. Anderson
- Larry Allen Anderson
- Myla Anderson
- Evan Angelus
All providers in West Haven, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.