Individual provider Active NPI

Amadika Bienta Hospedales, M.S.P.T.

  • Physical Therapist
  • Mount Vernon, NY
National Provider Identifier
1831343433
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024372 Issued in NY
Practice address
350 Warwick Ave
Mount Vernon, NY 10553-1814
Phone
(917) 642-5169
NPI assigned
Nov 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT024372 NY Primary

Addresses

Primary practice location

350 Warwick Ave
Mount Vernon, NY 10553-1814

Mailing address

350 Warwick Ave
Mount Vernon, NY 10553-1814
Phone (917) 642-5169

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
PT024372NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andora Physical Therapy Services Physical Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1831343433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WARWICK AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531814",
            "telephone_number": "917-642-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WARWICK AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531814",
            "telephone_number": "917-642-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSPEDALES",
        "first_name": "AMADIKA",
        "middle_name": "BIENTA",
        "name_prefix": "Miss",
        "credential": "M.S.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "PT024372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.