Amanda Michelle Dastolfo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00380200 Issued in NJ

Practice address

144 Magnolia Dr
Cape May Court House, NJ 08210-2141

Phone

(609) 465-7171

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1770186215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MAGNOLIA DR",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102141",
            "telephone_number": "609-465-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MAGNOLIA DR",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102141",
            "telephone_number": "609-465-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTOLFO",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00380200",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Madisyn Cubernot, PA-C
• Curalta Medical LLC
• Christopher Michael Curley, L.AC. D.O.M
• Mary Ellen Curley, P.T.
• Danilo G. Ybanez, DMD, LLC
• Kimberly Rose Davis, PHARMD
• Connor Dean
• Shannon Decosta
• Dianna Deignan, MD
• Delanzo Physical Therapy

• Physical Therapy Assistant in Cape May Court House, NJ
• Providers in Cape May Court House, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.