Active NPI
Amanda Vitro, PT, DPT
- Physical Therapist
- Utica, NY
National Provider Identifier
1659898567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 042098
- Practice address
- 2209 Genesee St
Utica, NY 13501-5930 - Phone
- (518) 694-1949
- NPI assigned
- Aug 23, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 042098 | NY | |
| Physical Therapist | 225100000X | 042098 | NY | Primary |
Addresses
Primary practice location
2209 Genesee St
Utica, NY 13501-5930
Mailing address
374 Madison St Apt 6
Waterville, NY 13480-1183
Phone (518) 694-1949
Other practice location 1
19 Robinson Rd
Clinton, NY 13323-1418
Phone (315) 853-6090 ext. 103
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | avitro@mvhshealthsystem.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 042098 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1659898567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 MADISON ST APT 6",
"city": "WATERVILLE",
"state": "NY",
"postal_code": "134801183",
"telephone_number": "518-694-1949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 GENESEE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "518-694-1949"
}
],
"practiceLocations": [
{
"address_1": "19 Robinson Rd",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "NY",
"postal_code": "133231418",
"country_code": "US",
"telephone_number": "315-853-6090 x103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VITRO",
"first_name": "AMANDA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "042098",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "042098",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "avitro@mvhshealthsystem.com",
"affiliation": "N",
"address_1": "2209 Genesee St",
"city": "Utica",
"state": "NY",
"country_code": "US",
"postal_code": "135015930",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.