Amanda L Keys, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

5601 31St St S
Saint Petersburg, FL 33712-4605

Phone

(727) 867-6955

NPI assigned

Jun 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1952928947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 48TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337124344",
            "telephone_number": "727-288-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 31ST ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337124605",
            "telephone_number": "727-867-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "29907",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K200-012-88-41-09",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Victoria Ketchersid, LCSW
• Carmen Ketchum-Lugo
• Ravi Reddy Kethireddy, MD
• Mara S Kevan, DACM, L.AC., DIPL.AC
• Key Counseling and Supervision
• Keystone Home Health, Inc.
• Younis Khair Al Deen, MD
• Anas Anis Khalaf, DC
• Racha Toni Khalaf, MD
• Waleed Khalid

• Physical Therapy Assistant in Saint Petersburg, FL
• Providers in Saint Petersburg, 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 Jul 2, 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.