Individual provider Active NPI

Amanda Anne Neri, PT, DPT

  • Orthopedic Physical Therapist
  • Chicago, IL
National Provider Identifier
1750048567
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070.026355 Issued in IL
Practice address
1751 W Division St Unit C-1E
Chicago, IL 60622-4086
Phone
(773) 278-9050
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070.026355 IL Primary

Addresses

Primary practice location

1751 W Division St Unit C-1E
Chicago, IL 60622-4086

Mailing address

1730 N Clark St Ste 303
Chicago, IL 60614-5853
Phone (773) 339-5451

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Cosamba

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.026355ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anpt LLC Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1750048567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 N CLARK ST STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145853",
            "telephone_number": "773-339-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 W DIVISION ST UNIT C-1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224086",
            "telephone_number": "773-278-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERI",
        "first_name": "AMANDA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.026355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Cosamba",
            "affiliation": "N",
            "address_1": "1751 W Division St Unit C-1E",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606224086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.