Amanda Jean Kucic, PTA – Physical Therapy Assistant

Key facts

NPI: 1881472660
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapy Assistant 225200000X
License: TE013251 (PA)
Practice address: 3911 Avonia Rd
Fairview, PA 16415-1069
Phone: (814) 877-8888
NPI assigned: Sep 21, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Hertel and Brown Physical Therapy, P.C. Physical Therapist · Erie, PA · NPI 1659481893

NPD
Core Network, LLC Physical Therapist · Pittsburgh, PA · NPI 1871551028

NPD (past) PHYSICAL THERAPY ASSISTANT

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
TE013251	PA	MD	Physical Therapy Assistant

Practice roles

Organization	Specialty	Status	New patients
Hertel and Brown Physical Therapy, P.C.		Current since Sep 24, 2023	Accepting new patients
Core Network, LLC	Physical Therapy Assistant	Past since Sep 24, 2023	Accepting new patients

Locations

3911 Avonia Rd
Fairview, PA 16415
Phone (814) 836-1970

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Assistant	225200000X	TE013251	PA	Yes

Addresses

Primary practice location

3911 Avonia Rd
Fairview, PA 16415-1069

Mailing address

3911 Avonia Rd
Fairview, PA 16415-1069
Phone (814) 877-8888

Other providers in Fairview, PA

Ellen S Jackson Strobel, DC
Anne Marie Jeffreys, SLP
Kristin Marie Jordan, M.S. CCC-SLP
Kathleen Marie Junkin, CCC-SLP
K.D. Andryc DDS and Dental Associates PC
John Dennis Leonard, D.D.S.
David Ralph Levan, DHSC., OTR/L
Keith Martin Liccardi, MPT
Live Oak Dermatology PC
Alicia Marie Lyon

All providers in Fairview, PA · Physical Therapy Assistant in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.