Active NPI
Amanda Denton, MS,PT
- Pediatric Physical Therapist
- Conway, AR
National Provider Identifier
1942358130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2261
- Practice address
- 2740 College Avenue
Conway, AR 72034-9310 - Phone
- (501) 329-5459
- Fax
- (501) 327-1738
- NPI assigned
- Jan 6, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2261 | AR | Primary |
Addresses
Primary practice location
2740 College Avenue
Conway, AR 72034-9310
Mailing address
6 Ridgeview Dr
Little Rock, AR 72227-2361
Phone (501) 223-5411
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2261 | AR | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1942358130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 RIDGEVIEW DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722272361",
"telephone_number": "501-223-5411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 COLLEGE AVENUE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720349310",
"telephone_number": "501-329-5459",
"fax_number": "501-327-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENTON",
"first_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "MS,PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-06",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AR",
"license": "2261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.