Active NPI
Amanda Keefe
- Physical Therapist
- Walpole, MA
National Provider Identifier
1801087655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17966
- Practice address
- 1333 Main St
Walpole, MA 02081-1755 - Phone
- (508) 668-8900
- Fax
- (508) 668-8901
- NPI assigned
- Aug 7, 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 | 17966 | MA | Primary |
Addresses
Primary practice location
1333 Main St
Walpole, MA 02081-1755
Mailing address
1333 Main St
Walpole, MA 02081-1755
Phone (508) 668-8900
Other names 1
- Amanda D. Smith
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 |
|---|---|---|---|
| 17966 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1801087655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 MAIN ST",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020811755",
"telephone_number": "508-668-8900",
"fax_number": "508-668-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 MAIN ST",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020811755",
"telephone_number": "508-668-8900",
"fax_number": "508-668-8901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEFE",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "SMITH",
"middle_name": "D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.