Amber Davis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1402919 Issued in KS

Practice address

2803 N Lorraine St
Ste F
Hutchinson, KS 67502-4354

Phone

(620) 662-3111

Fax

(620) 662-3122

NPI assigned

Sep 9, 2015

Last updated

Dec 9, 2016By the provider in NPPES

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

Other names 1

• Amber Hayden Former name

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1841668829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE",
            "address_2": "STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023013",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 N LORRAINE ST",
            "address_2": "STE F",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675024354",
            "telephone_number": "620-662-3111",
            "fax_number": "620-662-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMBER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1402919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HAYDEN",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana L Darrah, COTA
• Mark Wayne Darrah, D.D.S.
• Alan N Davidson, DO
• Alyssa M Davidson, LMSW
• Michael Davidson, P.A.
• Benjamin Sean Davis, MD
• Brooke Davis
• Lois Debozy
• Rex Anthony Degner, MD
• Michael Allen Delaney

• Physical Therapy Assistant in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.