Amanda Lynn Klidas

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012212 Issued in OH

Practice address

25221 Miles Rd Unit F
Warrensville Heights, OH 44128-5494

Phone

(216) 514-1600

Fax

(330) 247-3362

NPI assigned

May 24, 2019

Last updated

May 24, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Barrie G. Galvin, Otr L & Associates, LTD

  dba The Galvin Therapy Center

  • Pediatric Occupational Therapist
  • Cleveland, OH
  • NPI 1669504080
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1720645740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25221 MILES RD UNIT F",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285494",
            "telephone_number": "216-514-1600",
            "fax_number": "330-247-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25221 MILES RD UNIT F",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285494",
            "telephone_number": "216-514-1600",
            "fax_number": "330-247-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIDAS",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT012212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia King
• Leslie Kirschner, CNP
• Kristen Kissling, PHARMD, RPH
• Jonathan Robt Klein, MD
• Jeffrey Kleinman, M.D.
• Tia Bernee Kline
• Mari A Knettle, PT
• Amy Leigh Knowlton, CTRS
• Kelli Koba
• Raisa Kogan

• Physical Therapist in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.