Active NPI
Amanda Feher-Konczal, PT
- Physical Therapist
- Oregon, OH
National Provider Identifier
1760811368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012436
- Practice address
- 904 Isaac Streets Dr
Oregon, OH 43616-3204 - Phone
- (419) 691-2483
- Fax
- (419) 698-4197
- NPI assigned
- Nov 4, 2013
- 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 Therapist | 225100000X | 012436 | OH | Primary |
Addresses
Primary practice location
904 Isaac Streets Dr
Oregon, OH 43616-3204
Mailing address
1950 Metz Ave
Oregon, OH 43616-3730
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 |
|---|---|---|---|
| 012436 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1760811368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 METZ AVE",
"city": "OREGON",
"state": "OH",
"postal_code": "436163730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 ISAAC STREETS DR",
"city": "OREGON",
"state": "OH",
"postal_code": "436163204",
"telephone_number": "419-691-2483",
"fax_number": "419-698-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEHER-KONCZAL",
"first_name": "AMANDA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "012436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.