Amanda K Rosenkrans, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2005031148 Issued in MO

Practice address

3652 Stardust Dr
Hannibal, MO 63401-6212

Phone

(573) 221-8800

NPI assigned

Aug 30, 2006

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)

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 and National Provider Directory roles.

• Advance PT Therapy of Hannibal LLC

  dba Advance Physical Therapy & Sports Medicine of Hannibal, LLC

  • Physical Therapist
  • Hannibal, MO
  • NPI 1588678403
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1750491346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 STARDUST DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016212",
            "telephone_number": "573-221-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 STARDUST DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016212",
            "telephone_number": "573-221-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENKRANS",
        "first_name": "AMANDA",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005031148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Marie Roberts
• James Robbie Robertson, D.C.
• Thomas Rodeghero, DPT
• John D. Rogers, M.D.
• Root of Wellness LLC
• Karol Edward Rosner, M.D.
• Autumn R Ruhr, LMSW
• Eric M. Ruocco, M.D.
• Ashley A Rush, PLPC
• Lisa Marie Russell, D.M.D.

• Physical Therapist in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.