Individual provider Active NPI

Amanda Roberts, DPT

  • Physical Therapist
  • Pittsfield, MA
National Provider Identifier
1740658079
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21998 Issued in MA
Practice address
740 Williams St
Pittsfield, MA 01201-7463
Phone
(413) 447-8070
Fax
(413) 445-4918
NPI assigned
Sep 3, 2015
Last updated
Sep 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21998 MA Primary

Addresses

Primary practice location

740 Williams St
Pittsfield, MA 01201-7463

Mailing address

740 Williams St
Pittsfield, MA 01201-7463
Phone (413) 447-8070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105002980 MA Practitioner - Physical Therapist in Private Practice 5799087938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21998MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Associates of Schenectady, P.C. Physical Therapist CurrentSince Dec 1, 2015 Accepting new patients
Physical Therapy Associates of Schenectady, PC Physical Therapist CurrentSince Dec 1, 2015 Accepting new patients

Locations

740 Williams St
Pittsfield, MA 01201
Phone (413) 445-4564

740 Williams St
Ste 1
Pittsfield, MA 01201
Phone (413) 243-3477

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1740658079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017463",
            "telephone_number": "413-447-8070",
            "fax_number": "413-445-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 WILLIAMS ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017463",
            "telephone_number": "413-447-8070",
            "fax_number": "413-445-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "AMANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.