Amanda Barker, PTA
Individual provider Active NPI Physical Therapy Assistant · Louisville, KY
NPI 1699182162 · NPPES record last updated Jul 16, 2014
Key facts
- NPI
- 1699182162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA003135 (GA)
- Practice address
- 303 N Hurstbourne Pkwy Ste 200
Louisville, KY 40222-5158 - Phone
- (502) 412-5847
- NPI assigned
- Jul 16, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| PTA003135 | GA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA003135 | GA | Yes |
Addresses
Primary practice location
303 N Hurstbourne Pkwy Ste 200
Louisville, KY 40222-5158
Mailing address
2640 King George CT NE
Conyers, GA 30012-2632
Phone (404) 316-9115
Other providers in Louisville, KY
- Marsha Marie Barham
- Brian R Barhorst
- Joseph Baribeau
- Audrey Marie Baricovich
- Rebekah Joy Barido
- Brianna Marie Barker
- Casandra Marie Barker
- Lindley Barker
- Melissa Barker
- Wendy Chantelle Barker
All providers in Louisville, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2014. 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.