Amanda Clary, PTA – Physical Therapy Assistant

Key facts

NPI: 1801100235
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapy Assistant 225200000X
License: 14-02001 (KS)
Practice address: 700 Oregon St
Hiawatha, KS 66434-2232
Phone: (785) 742-7606
Fax: (785) 742-4490
NPI assigned: Jul 27, 2010
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Physical & Respiratory Therapy Services LLC Physical Therapist · Hiawatha, KS · NPI 1407850902

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
14-02001	KS	MD	Physical Therapy Assistant

Practice roles

Organization	Specialty	Status	New patients
Physical & Respiratory Therapy Services LLC		Past since Jun 1, 2013	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Assistant	225200000X	14-02001	KS	Yes
Physical Therapy Assistant	225200000X	879	NE

Addresses

Primary practice location

700 Oregon St
Hiawatha, KS 66434-2232

Mailing address

700 Oregon St
Hiawatha, KS 66434-2232
Phone (785) 742-7606

Other providers in Hiawatha, KS

All providers in Hiawatha, KS · Physical Therapy Assistant in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.