Individual provider Active NPI

Amanda Kaye Vaught, MPT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1770559247
Registry record updated May 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10001580 Issued in DE
Practice address
1806 N Van Buren St
Suite 110
Wilmington, DE 19802-3851
Phone
(302) 654-8142
Fax
(302) 654-8143
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01158000 NJ
Physical Therapist 225100000X J10001580 DE Primary
Physical Therapist 225100000X PT015139 PA

Addresses

Primary practice location

1806 N Van Buren St
Suite 110
Wilmington, DE 19802-3851

Mailing address

1806 N Van Buren St
Suite 110
Wilmington, DE 19802-3851
Phone (302) 654-8142

Other identifiers 1

IdentifierTypeStateIssuer
1770559247MedicaidDE

Other names 1

  • Amanda Kaye Helmeczi Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
J10001580DEMDPhysical Therapist
40QA01158000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy, Corp. Physical Therapist PastSince Aug 28, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401408000000",
    "number": "1770559247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N VAN BUREN ST",
            "address_2": "SUITE 110",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023851",
            "telephone_number": "302-654-8142",
            "fax_number": "302-654-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N VAN BUREN ST",
            "address_2": "SUITE 110",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023851",
            "telephone_number": "302-654-8142",
            "fax_number": "302-654-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHT",
        "first_name": "AMANDA",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2014-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01158000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10001580",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770559247",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HELMECZI",
            "middle_name": "KAYE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.