Active NPI
Amy L Honce, PT
- Pediatric Physical Therapist
- Bridgeport, WV
National Provider Identifier
1750569976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1436
- Practice address
- 17 Millbrook Rd
Bridgeport, WV 26330-1019 - Phone
- (304) 626-5415
- NPI assigned
- Feb 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1436 | WV | Primary |
Addresses
Primary practice location
17 Millbrook Rd
Bridgeport, WV 26330-1019
Mailing address
17 Millbrook Rd
Bridgeport, WV 26330-1019
Phone (304) 626-5415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0157696000 | Medicaid | WV |
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 |
|---|---|---|---|
| 1436 | WV | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1750569976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MILLBROOK RD",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301019",
"telephone_number": "304-626-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MILLBROOK RD",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301019",
"telephone_number": "304-626-5415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONCE",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WV",
"license": "1436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0157696000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.