Amanda Patton

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27912 Issued in FL

Practice address

400 International Pkwy Ste 300
Lake Mary, FL 32746-5065

Phone

(800) 605-8290

NPI assigned

Dec 2, 2012

Last updated

Dec 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Citrus Ridge Medical Centers, Inc

  dba Citrus Ridge Health Center

  • Multi-Specialty Clinic/Center
  • Davenport, FL
  • NPI 1356639017
  NPD
• Four Corners Chiropractic Centers PA

  • Chiropractor
  • Clermont, FL
  • NPI 1619963147
  NPD (past)

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

{
    "created_epoch": "1354406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354406400000",
    "number": "1841535853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 GRANADA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INTERNATIONAL PKWY STE 300",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465065",
            "telephone_number": "800-605-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-02",
        "last_updated": "2012-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "27912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient Care Home Health of Central Florida LLC
• George Patounakis, M.D,
• Madeline Patrick
• Merly Sarita Patrocinio Gonzales
• Venkata Suresh Patthipati, M.D.
• Alexandria Kristina Paul
• Robert J Pavone, BC-HIS, HAS
• Charney Payne
• Jaylen Payne, DNP
• Kelly Taylor Pazol

• Physical Therapist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2012; 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.