Active NPI
Amanda Noelle Gittens
- Developmental Therapist
- Pompano Beach, FL
National Provider Identifier
1922378181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 2708 NE 14TH St
Suite 5
Pompano Beach, FL 33062-3565 - Phone
- (888) 880-9270
- NPI assigned
- Jan 5, 2012
- Last updated
- Jan 5, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | NU | Primary |
Addresses
Primary practice location
2708 NE 14TH St
Suite 5
Pompano Beach, FL 33062-3565
Mailing address
15231 Colony PL
Apt 303
Woodbridge, VA 22191-4961
Phone (682) 560-1281
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1922378181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15231 COLONY PL",
"address_2": "APT 303",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221914961",
"telephone_number": "682-560-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 NE 14TH ST",
"address_2": "SUITE 5",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330623565",
"telephone_number": "888-880-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITTENS",
"first_name": "AMANDA",
"middle_name": "NOELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.