Active NPI
Amanda Lynn Keily, PT
- Physical Therapist
- New Port Richey, FL
National Provider Identifier
1699280412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-31297
- Practice address
- 1839 Health Care Dr Ste 1
New Port Richey, FL 34655-5363 - Phone
- (727) 372-0812
- NPI assigned
- Dec 4, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0013128 | CO | |
| Physical Therapist | 225100000X | PT-4097 | ID | |
| Physical Therapist | 225100000X | PT-31297 | FL | Primary |
Addresses
Primary practice location
1839 Health Care Dr Ste 1
New Port Richey, FL 34655-5363
Mailing address
PO Box 446
Safety Harbor, FL 34695-0446
Phone (760) 716-0319
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-31297 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
| PT-4097 | Other | ID | IDAHO DEPT OF HEALTH |
| PT-0013128 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
Other names 1
- Amanda Lynn Hill
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 |
|---|---|---|---|
| PTL.0013128 | CO | MD | Physical Therapist |
| PT-31297 | FL | MD | Physical Therapist |
| PT-4097 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1699280412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 446",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346950446",
"telephone_number": "760-716-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 HEALTH CARE DR STE 1",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346555363",
"telephone_number": "727-372-0812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEILY",
"first_name": "AMANDA",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-04",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0013128",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-4097",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT-31297",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "PT-31297",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO DEPT OF HEALTH",
"identifier": "PT-4097",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "PT-0013128",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "HILL",
"middle_name": "LYNN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.