Individual provider Active NPI

Amber Marie Dull, PTA

  • Physical Therapy Assistant
  • York, PA
National Provider Identifier
1659043180
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TEI003177 Issued in PA
Practice address
40 West Eleventh Avenue York, PA 17402
York, PA 17402
Phone
(717) 852-7733
Fax
(717) 852-7503
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI003177 PA Primary

Addresses

Primary practice location

40 West Eleventh Avenue York, PA 17402
York, PA 17402

Mailing address

1918 Cedar Dr
Spring Grove, PA 17362
Phone (410) 829-2601

Other identifiers 1

IdentifierTypeStateIssuer
TEI003177OtherPACOMMONWEALTH OF PA

Other names 1

  • Amber Marie Starkey Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amber.dull@usphclinic.com US PT Alliance Rehabilitation Services Inc

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TEI003177PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1659043180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 CEDAR DR",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "17362",
            "telephone_number": "410-829-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WEST ELEVENTH AVENUE YORK, PA 17402",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-852-7733",
            "fax_number": "717-852-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULL",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI003177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PA",
            "identifier": "TEI003177",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amber.dull@usphclinic.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "US PT Alliance Rehabilitation Services Inc",
            "address_1": "40 West Eleventh Avenue York, PA 17402",
            "city": "york",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "STARKEY",
            "middle_name": "MARIE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.