Amanda Lee Davis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05005632A Issued in IN

Practice address

6995 N 750 W
Orland, IN 46776-9724

Phone

(260) 829-6363

Fax

(260) 829-6363

NPI assigned

Apr 12, 2011

Sex

Female

Sole proprietor

Yes

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.

• Motion for Life LLC

  • Physical Therapy Clinic/Center
  • Orland, IN
  • NPI 1609080647

  Physical Therapist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2011.

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1902196835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6995 N 750 W",
            "city": "ORLAND",
            "state": "IN",
            "postal_code": "467769724",
            "telephone_number": "260-829-6363",
            "fax_number": "260-829-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6995 N 750 W",
            "city": "ORLAND",
            "state": "IN",
            "postal_code": "467769724",
            "telephone_number": "260-829-6363",
            "fax_number": "260-829-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005632A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Ann Beachler, PT
• Catherine E Covell, PT
• Motion for Life LLC
• Paige Willms

• All providers in Orland, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.