Amanda Lin Robertson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A8237 Issued in NC

Practice address

511 Windmill St
Walnut Cove, NC 27052-7706

Phone

(336) 591-4353

NPI assigned

Nov 10, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1831963776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 NORTHWICK DR APT 208",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WINDMILL ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270527706",
            "telephone_number": "336-591-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "AMANDA",
        "middle_name": "LIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A8237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Presnell
• Quad County Group Homes for Emotionally Disturbed Children, Inc.
• Reynolds Care Support, LLC
• James Doyle Richardson, RPH, BS
• Ridge Care Management, Inc.
• Breanna Nicole Robertson, MS, LCAS-A
• Sandra Mitchell Robertson, PTA
• Olivia Caroline Roten, DMD
• RSS/Walnut Cove Operations, LLC
• Reinatou Sadou, LCMHCA

• Physical Therapy Assistant in Walnut Cove, NC
• Providers in Walnut Cove, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.