Individual provider Active NPI

Amy Neyer, PT

  • Neurology Physical Therapist
  • Torrance, CA
National Provider Identifier
1689216962
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT39896 Issued in CA
Practice address
3848 W Carson St Ste 110
Torrance, CA 90503-6704
Phone
(424) 488-3191
Fax
(310) 933-4803
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X PT39896 CA Primary

Addresses

Primary practice location

3848 W Carson St Ste 110
Torrance, CA 90503-6704

Mailing address

3848 W Carson St Ste 110
Torrance, CA 90503-6704
Phone (424) 488-3191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191227001926 CA Practitioner - Physical Therapist in Private Practice 0345674321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Re Active Physical Therapy and WellnessGroup PAC ID 4183872740, 14 clinicians

Practice addresses (Care Compare)

11500 W Olympic Blvd
Suite 640
Los Angeles, CA 90064-1525
Phone (310) 433-0369

300 Continental Blvd
Suite 150
El Segundo, CA 90245-5043
Phone (424) 225-1845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39896CAMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Re Active Physical Therapy and Wellness Neurology CurrentSince Oct 9, 2019 Accepting new patients

Locations

11500 W Olympic Blvd
Ste 640
Los Angeles, CA 90064
Phone (310) 433-0369

3848 W Carson St
Ste 110
Torrance, CA 90503
Phone (424) 225-1845

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1689216962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 W CARSON ST STE 110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036704",
            "telephone_number": "424-488-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 W CARSON ST STE 110",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036704",
            "telephone_number": "424-488-3191",
            "fax_number": "310-933-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEYER",
        "first_name": "AMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT39896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.