Active NPI
Amanda L Witko, MPT
- Orthopedic Physical Therapist
- Haleiwa, HI
National Provider Identifier
1902199656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 3803
- Practice address
- 59-771 Kapuhi PL
Haleiwa, HI 96712-9421 - Phone
- (858) 472-1750
- NPI assigned
- May 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 36886 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 3803 | HI | Primary |
Addresses
Primary practice location
59-771 Kapuhi PL
Haleiwa, HI 96712-9421
Mailing address
PO Box 51
Haleiwa, HI 96712-0051
Phone (858) 472-1750
Other practice location 1
56-117 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9221
Other practice location 2
1029 Kapahulu Ave Ste 401
Honolulu, HI 96816-1332
Phone (808) 739-1977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3803 | HI | MD | Clinical Social Worker |
| 36886 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- La Mesa, CA
- NPI 1740224625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1902199656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967120051",
"telephone_number": "858-472-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59-771 KAPUHI PL",
"city": "HALEIWA",
"state": "HI",
"postal_code": "967129421",
"telephone_number": "858-472-1750"
}
],
"practiceLocations": [
{
"address_1": "56-117 Pualalea St",
"address_purpose": "LOCATION",
"city": "Kahuku",
"state": "HI",
"postal_code": "96731",
"country_code": "US",
"telephone_number": "808-293-9221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1029 Kapahulu Ave Ste 401",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968161332",
"country_code": "US",
"telephone_number": "808-739-1977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITKO",
"first_name": "AMANDA",
"middle_name": "L",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-26",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "36886",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "HI",
"license": "3803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haleiwa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.