Amanda Kaitlyn Boone, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32135 Issued in FL

Practice address

7205 Estero Blvd Unit 5
Fort Myers Beach, FL 33931-4786

Phone

(239) 314-5118

Fax

(239) 314-5119

NPI assigned

Oct 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Advance Rehabilitation & Consulting Limited Partnership

  • Physical Therapist
  • Saint Marys, GA
  • NPI 1235434283
  Medicare reassignment NPD
• Benchmark Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Duluth, GA
  • NPI 1083666903
  Medicare reassignment NPD
• Advance Rehabilitation & Consulting Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Jasper, GA
  • NPI 1164115671

  Physical Therapist

  NPD
• Benchmark Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Conyers, GA
  • NPI 1184924854
  NPD
• Professional Sportscare & Rehab, LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1548714959
  NPD (past)

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1841740511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 ESTERO BLVD UNIT 5",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314786",
            "telephone_number": "301-751-9831",
            "fax_number": "239-314-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 ESTERO BLVD UNIT 5",
            "city": "FORT MYERS BEACH",
            "state": "FL",
            "postal_code": "339314786",
            "telephone_number": "239-314-5118",
            "fax_number": "239-314-5119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2777 Jefferson Davis Hwy",
            "address_2": "Suite #109",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225548323",
            "country_code": "US",
            "telephone_number": "540-318-8615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7130 Mount Zion Blvd",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "30236",
            "country_code": "US",
            "telephone_number": "770-603-5660",
            "fax_number": "770-603-6779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONE",
        "first_name": "AMANDA",
        "middle_name": "KAITLYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210593",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013383",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Brooke Akers, DPT
• Stephen Bailey, M.D.
• Lorraine Barry, LMFT
• Cindy Bello
• Kathryn Book
• Nicholas Vito Boraggina, M.D.
• Dana Erin Bronsord, PT
• Lucy Church, DPT
• Janna Kay Clark, CPT
• Lola Gene Clark, MS/CCC-SLP

• Physical Therapist in Fort Myers Beach, FL
• Providers in Fort Myers Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.

Verify at the official NPI Registry.