Amanda E Eller, P.T.D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23508 Issued in MD

Practice address

130 Hospital Rd
Suite 103
Prince Frederick, MD 20678-4015

Phone

(410) 535-8180

NPI assigned

Jan 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Calvert Physical Therapy and Sports Fitness Ctr.

  • Physical Therapist
  • Prince Frederick, MD
  • NPI 1780724617
  NPD (past)

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1811292162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "SUITE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784015",
            "telephone_number": "410-535-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD",
            "address_2": "SUITE 103",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784015",
            "telephone_number": "410-535-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "AMANDA",
        "middle_name": "E",
        "credential": "P.T.D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406409700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lavonne Edwards, PA
• Melissa Alberta Edwards, CAC-AD
• Brittanie Lee Eggan, P.A.
• Wilfred R Ehrmantraut Jr., MD
• Kanayo Ekeada, PHARMD
• Betty Trout Elliott
• Kia Elliott, NP
• Emergency Medicine Associates
• Emergency Medicine Associates P.a., P.C.
• Courtney Ennis

• Physical Therapist in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.