Amber Frank Fockler, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30635 Issued in FL

Practice address

13719 Dallas Dr
Hudson, FL 34667-7133

Phone

(727) 862-6795

NPI assigned

Jan 14, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1922697879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14926 SHEILA ANN DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346691204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13719 DALLAS DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677133",
            "telephone_number": "727-862-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOCKLER",
        "first_name": "AMBER",
        "middle_name": "FRANK",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://windsorwoodshealthandrehab.com/",
            "affiliation": "Y",
            "affiliationName": "FI-Windsor Woods, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Web",
            "address_1": "13719 Dallas Dr",
            "city": "Hudson",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346677133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Florida Orthopaedic Trauma Specialists, PLLC
• Heather Kristen Flowers, LCSW
• Anisleidy Fombona, M.D.
• Terry Forman, CTRI, ESMHL
• Valerie Jo Francois, DPT
• Jacob Frankovitz
• Alan M Freedman, M.D.

• Physical Therapy Assistant in Hudson, FL
• Providers in Hudson, FL by specialty
• Physical Therapy Assistant in Florida

• 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.

Verify at the official NPI Registry.