Individual provider Active NPI

Amanda Bainbridge, P.T., DPT

  • Physical Therapist
  • Monroeville, PA
National Provider Identifier
1881939692
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024427 Issued in RI
Practice address
2526 Monroeville Blvd Ste 3
Monroeville, PA 15146-2358
Phone
(412) 457-8200
NPI assigned
Dec 5, 2012
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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 024427 RI Primary

Addresses

Primary practice location

2526 Monroeville Blvd Ste 3
Monroeville, PA 15146-2358

Mailing address

348 Woodhaven Dr
Monroeville, PA 15146-1314
Phone (412) 965-2677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213002897 PA Practitioner - Physical Therapist in Private Practice 5991154197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Brown Hounds Holdings IncGroup PAC ID 0941659122, 6 clinicians

Practice addresses (Care Compare)

2526 Monroeville Blvd
Suite 3/4
Monroeville, PA 15146-2358
Phone (412) 457-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024427RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Three Brown Hounds Holdings, Inc. Physical Therapist CurrentSince Oct 17, 2023 Accepting new patients

Locations

2526 Monroeville Blvd
Ste 34
Monroeville, PA 15146
Phone (412) 457-8200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1881939692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 WOODHAVEN DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461314",
            "telephone_number": "412-965-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 MONROEVILLE BLVD STE 3",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462358",
            "telephone_number": "412-457-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINBRIDGE",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "P.T., DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "024427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.