Amanda Peterson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0134213 Issued in VT

Practice address

140 S Main St
Saint Albans, VT 05478-1895

Phone

(802) 527-6295

Fax

(802) 893-7427

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Excel Physical Therapy Inc

  • Physical Therapist
  • Milton, VT
  • NPI 1982708012
  NPD
• Champlain Valley Physicians Hospital Medical Center

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1124189782
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1922605641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054680776",
            "telephone_number": "802-527-6295",
            "fax_number": "802-893-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S MAIN ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781895",
            "telephone_number": "802-527-6295",
            "fax_number": "802-893-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "AMANDA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Pearce
• Miller Bowen Pearsall, M.D.
• Pamela Carol Pedersen, M.D,
• Michelle D Pelkey, LICSW
• Matthew Perret, LICSW
• Daniel Phillips
• Lindsay Phillips
• Mary Elizabeth Pickener, LICSW, LADC
• Amy Pierzchalski, CMT
• Jacquelyn Pietrobono

• Physical Therapist in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.