Amy Farley, LPTA
Individual provider Active NPI Physical Therapy Assistant · Moulton, AL
NPI 1922421692 · NPPES record last updated Jan 30, 2014
Key facts
- NPI
- 1922421692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA645 (AL)
- Practice address
- 300 Hospital St
Moulton, AL 35650-1268 - Phone
- (256) 974-1146
- NPI assigned
- Jan 30, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| PTA645 | AL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA645 | AL | Yes |
Addresses
Primary practice location
300 Hospital St
Moulton, AL 35650-1268
Mailing address
1126 East St
Moulton, AL 35650-1253
Phone (205) 275-6772
Other providers in Moulton, AL
- Elevate Counseling LLC
- Deandra Elliott
- Jon Elmore
- Encore Rehabiliation Inc
- Family Care First, Inc
- Fletcher Family Chiropractic, Inc.
- Aaron L Fletcher
- Jack Marlow Foster Jr.
- Jamie Rose Ghrigsby
- Samuel Nixon Gillespie
All providers in Moulton, AL · Physical Therapy Assistant in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2014. 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.