Individual provider Active NPI

Amanda E. Weber, PT

  • Physical Therapist
  • Bedford, NH
National Provider Identifier
1942265251
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2232 Issued in NH
Practice address
20 Commerce Park N
Suite 103
Bedford, NH 03110-6911
Phone
(603) 472-5546
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2232 NH Primary
Physical Therapist 225100000X 11964 MA

Addresses

Primary practice location

20 Commerce Park N
Suite 103
Bedford, NH 03110-6911

Mailing address

171 Daniel Webster Hwy
Unit 11
Belmont, NH 03220-3053
Phone (603) 524-3397

Other identifiers 4

IdentifierTypeStateIssuer
7793528OtherNHAETNA--INDIVIDUAL ID#
3078250MedicaidNH
7862579OtherNHCIGNA GROUP ID ONLY
08Y003965NH03OtherNHANTHEM INDIVIDUAL #

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

LicenseStateTypeSpecialty
11964MAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1942265251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 DANIEL WEBSTER HWY",
            "address_2": "UNIT 11",
            "city": "BELMONT",
            "state": "NH",
            "postal_code": "032203053",
            "telephone_number": "603-524-3397",
            "fax_number": "603-524-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE PARK N",
            "address_2": "SUITE 103",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106911",
            "telephone_number": "603-472-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "AMANDA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2232",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA--INDIVIDUAL ID#",
            "identifier": "7793528",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078250",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP ID ONLY",
            "identifier": "7862579",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIVIDUAL #",
            "identifier": "08Y003965NH03",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.