Active NPI
Amy Manchester
- Physical Therapist
- Rector, AR
National Provider Identifier
1780864330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2003020136
- Practice address
- 1009 W 5TH St
Rector, AR 72461-1527 - Phone
- (870) 930-6269
- NPI assigned
- Nov 13, 2007
- Last updated
- Nov 13, 2007
- 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 | 2003020136 | MO | Primary |
Addresses
Primary practice location
1009 W 5TH St
Rector, AR 72461-1527
Mailing address
1009 W 5TH St
Rector, AR 72461-1527
Phone (870) 930-6269
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2003020136 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A to Z Wellness and Rehab Services, LLC | Current | Accepting new patients | |
| Advanced Therapy Services, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sunrise Home Care, LLC
- Home Health Agency
- Poplar Bluff, MO
- NPI 1992004386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1780864330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 W 5TH ST",
"city": "RECTOR",
"state": "AR",
"postal_code": "724611527",
"telephone_number": "870-930-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 W 5TH ST",
"city": "RECTOR",
"state": "AR",
"postal_code": "724611527",
"telephone_number": "870-930-6269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHESTER",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2003020136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rector, AR
- Scott Steven Gracey, DC
- Robert Keith Hill, P.D.
- Jeffrey Louis Hummert, OTA
- Shelley Renee Lockhart, LPN
- Mary Ann Lovrien, PHARMD
- Piggott Community Hospital
- Piggott Community Hospital (Family Care Clinic of Rector)
- Rector Downtown Drug, Inc. (Rector Downtown Drug)
- Rector Downtown Drug, Inc. (Rector Downtown Drug)
- Rector Downtown Drug, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.