Active NPI
Amanda Agalar, DPT
- Physical Therapist
- Niskayuna, NY
National Provider Identifier
1821360892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 942 Ash Tree LN
Niskayuna, NY 12309-1703 - Phone
- (253) 216-0468
- NPI assigned
- Feb 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008896 | CT | |
| Physical Therapist | 225100000X | PT60868949 | WA | |
| Pediatric Physical Therapist | 2251P0200X | |||
| Physical Therapist | 225100000X | NY | Primary |
Addresses
Primary practice location
942 Ash Tree LN
Niskayuna, NY 12309-1703
Mailing address
942 Ash Tree LN
Niskayuna, NY 12309-1703
Other names 1
- Amanda Skuse
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 |
|---|---|---|---|
| 008896 | CT | MD | Physical Therapist |
| PT60868949 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1821360892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 ASH TREE LN",
"city": "NISKAYUNA",
"state": "NY",
"postal_code": "123091703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942 ASH TREE LN",
"city": "NISKAYUNA",
"state": "NY",
"postal_code": "123091703",
"telephone_number": "253-216-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGALAR",
"first_name": "AMANDA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-06",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008896",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60868949",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "SKUSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Niskayuna, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.