Individual provider Active NPI

Amanda Courtney, DC

  • Chiropractor
  • Rockledge, FL
National Provider Identifier
1750812871
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12132 Issued in FL
Practice address
3190 Suntree Blvd Ste 101
Rockledge, FL 32955-5741
Phone
(321) 622-4501
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12132 FL Primary

Addresses

Primary practice location

3190 Suntree Blvd Ste 101
Rockledge, FL 32955-5741

Mailing address

3190 Suntree Blvd Ste 101
Rockledge, FL 32955-5741
Phone (386) 453-7599

Other practice location 1

916 Cape Coral Pkwy E
Cape Coral, FL 33904-9014
Phone (239) 542-1422

Other practice location 2

145 Palm Bay Rd NE Ste 120
West Melbourne, FL 32904
Phone (321) 725-8778

Other names 1

  • Amanda Schenk Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190124000585 FL Practitioner - Chiropractic 4587901855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3190 Suntree Blvd
Suite 101
Rockledge, FL 32955-5741
Phone (321) 622-4501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH12132FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clow Integrated Medical Center PA CurrentSince Sep 8, 2024 Accepting new patients
Spine by Design Chiropractic LLC Chiropractor CurrentSince Nov 26, 2019 Accepting new patients
Mel Youngs DC PA Chiropractor PastSince Mar 1, 2008 Accepting new patients

Locations

3190 Suntree Blvd
Ste 101
Rockledge, FL 32955
Phone (321) 253-2206

145 Palm Bay Rd NE
Ste 120
West Melbourne, FL 32904
Phone (321) 725-8778

145 Palm Bay Rd NE
Ste 121
West Melbourne, FL 32904
Phone (321) 725-8778

Organizations & group practices 3

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1750812871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 SUNTREE BLVD STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555741",
            "telephone_number": "386-453-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 SUNTREE BLVD STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555741",
            "telephone_number": "321-622-4501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Cape Coral Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339049014",
            "country_code": "US",
            "telephone_number": "239-542-1422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Palm Bay Rd NE Ste 120",
            "address_purpose": "LOCATION",
            "city": "West Melbourne",
            "state": "FL",
            "postal_code": "32904",
            "country_code": "US",
            "telephone_number": "321-725-8778",
            "fax_number": "321-984-5299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "AMANDA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SCHENK",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.