Amber Marie Herr, PHYSICAL THERAPIST A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0290 Issued in SD

Practice address

501 4TH St.
Wilmot, SD 57279

Phone

(605) 938-4418

Fax

(605) 938-4412

NPI assigned

Feb 6, 2013

Last updated

Feb 6, 2013By 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 1

Addresses

Other names 1

• Ms. Amber Marie Shuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1699014910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 4TH ST.",
            "city": "WILMOT",
            "state": "SD",
            "postal_code": "57279",
            "telephone_number": "605-938-4418",
            "fax_number": "605-938-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 4TH ST.",
            "city": "WILMOT",
            "state": "SD",
            "postal_code": "57279",
            "telephone_number": "605-938-4418",
            "fax_number": "605-938-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "0290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "SHULLER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PHYSICAL THERAPY AST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Avera McKennan (Avera Medical Group Wilmot)
• Coteau Des Prairies Hospital, Inc (Couteau Des Priaires Hospital & Clinic Wilmot)
• Coteau Des Prairies Hospital, Inc. (Coteau Des Prairies Wilmot Clinic)
• Susan Leddy, C.N.P
• Wilmot Care Center
• Wilmot Care Center
• Wilmot Care Center
• Wilmot School District 54-7

• Physical Therapy Assistant in Wilmot, SD
• Providers in Wilmot, SD by specialty
• Physical Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.