Active NPI
Amanda Michelle Hilliard, PTA
- Physical Therapy Assistant
- Bedford, TX
National Provider Identifier
1760236285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2170348
- Practice address
- 1940 Bedford Rd
Bedford, TX 76021-5707 - Phone
- (817) 283-9435
- NPI assigned
- Apr 12, 2024
- Last updated
- Apr 12, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2170348 | TX | Primary |
Addresses
Primary practice location
1940 Bedford Rd
Bedford, TX 76021-5707
Mailing address
9177 Sagewood Dr Apt 4212
Fort Worth, TX 76177-2344
Phone (903) 879-1246
Other names 1
- Amanda Michelle Warren
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 |
|---|---|---|---|
| 2170348 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1760236285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9177 SAGEWOOD DR APT 4212",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761772344",
"telephone_number": "903-879-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 BEDFORD RD",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215707",
"telephone_number": "817-283-9435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIARD",
"first_name": "AMANDA",
"middle_name": "MICHELLE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-12",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2170348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "WARREN",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.