Individual provider Active NPI

Amanda Bednarek, DPT

  • Physical Therapist
  • North Chelmsford, MA
National Provider Identifier
1871330753
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
73 Princeton Street, Suite 8
North Chelmsford, MA 01863
Phone
(978) 710-7204
Fax
(978) 710-5764
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

73 Princeton Street, Suite 8
North Chelmsford, MA 01863

Mailing address

73 Princeton Street, Suite 8
North Chelmsford, MA 01863
Phone (978) 710-7204

Other names 1

  • Amanda Weir Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023001054 MA Practitioner - Physical Therapist in Private Practice 6709319247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Game Physical Therapy PCGroup PAC ID 0244514305, 8 clinicians

Practice addresses (Care Compare)

73 Princeton St
Suite 8
North Chelmsford, MA 01863-1558
Phone (978) 710-7204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Game Physical Therapy, PC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients

Locations

1703 Middlesex St
Lowell, MA 01851
Phone (978) 710-7204

73 Princeton St
Unit 8
North Chelmsford, MA 01863

73 Princeton St
Ste 8
North Chelmsford, MA 01863
Phone (978) 710-7204

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1871330753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PRINCETON STREET, SUITE 8",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "01863",
            "telephone_number": "978-710-7204",
            "fax_number": "978-710-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRINCETON STREET, SUITE 8",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "01863",
            "telephone_number": "978-710-7204",
            "fax_number": "978-710-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAREK",
        "first_name": "AMANDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-02-27",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WEIR",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.