Individual provider Active NPI

Linda Cox Vanmarter, PHYSICAL THERAPIST

  • Pediatric Physical Therapist
  • Amarillo, TX
National Provider Identifier
1821118514
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1057016 Issued in TX
Practice address
2505 Lakeview Dr Ste 302
Amarillo, TX 79109-1523
Phone
(806) 358-8974
Fax
(806) 359-0506
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1057016 TX Primary

Addresses

Primary practice location

2505 Lakeview Dr Ste 302
Amarillo, TX 79109-1523

Mailing address

901 Wallace Blvd
Amarillo, TX 79106-1705
Phone (806) 358-8974

Other identifiers 1

IdentifierTypeStateIssuer
8T0165OtherTXBCBS LINK TO 00BF18

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1057016TXMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821118514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061705",
            "telephone_number": "806-358-8974",
            "fax_number": "806-359-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LAKEVIEW DR STE 302",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091523",
            "telephone_number": "806-358-8974",
            "fax_number": "806-359-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMARTER",
        "first_name": "LINDA",
        "middle_name": "COX",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1057016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LINK TO 00BF18",
            "identifier": "8T0165",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.