Active NPI
Amanda M Kuntz, PT, DPT, CLT
- Physical Therapist
- Sturgeon Bay, WI
National Provider Identifier
1831672286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14453-24
- Practice address
- 1300 Egg Harbor Rd Ste 152
Sturgeon Bay, WI 54235-1248 - Phone
- (920) 746-0410
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14453-24 | WI | Primary |
Addresses
Primary practice location
1300 Egg Harbor Rd Ste 152
Sturgeon Bay, WI 54235-1248
Mailing address
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566
Other names 1
- Amanda M Fear
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14453-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Physical Therapist | Current | Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Physical Therapist | Current | Accepting new patients |
| Door County Memorial Hospital | Past | Accepting new patients |
Locations
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566
Organizations & group practices 6
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.
-
- General Practice Physician
- Green Bay, WI
- NPI 1285613638
Physical Therapist
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
Physical Therapist
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
-
- Durable Medical Equipment & Medical Supplies
- Green Bay, WI
- NPI 1245042530
-
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1730184342
-
- Critical Access Hospital
- Sturgeon Bay, WI
- NPI 1093743874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1831672286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 S 18TH AVE",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351401",
"telephone_number": "920-743-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 EGG HARBOR RD STE 152",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "542351248",
"telephone_number": "920-746-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNTZ",
"first_name": "AMANDA",
"middle_name": "M",
"credential": "PT, DPT, CLT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14453-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "FEAR",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.