Individual provider Active NPI

Amanda Aileen Carpenter, PT

  • Physical Therapist
  • Warrensburg, NY
National Provider Identifier
1962610105
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023008 Issued in NY
Practice address
28 Hudson St
Warrensburg, NY 12885-1204
Phone
(518) 623-3410
Fax
(518) 338-0125
NPI assigned
May 20, 2007
Last updated
Jul 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 023008 NY Primary

Addresses

Primary practice location

28 Hudson St
Warrensburg, NY 12885-1204

Mailing address

PO Box 452
Warrensburg, NY 12885-0452
Phone (518) 623-3410

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
20874MDMDPharmacist
023008NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey J. Foss PT, PC Physical Therapist PastSince Sep 1, 2002 Accepting new patients
Ibrahim Hadge Chapeyama Physical Therapist Past Accepting new patients
High Peak Physical Therapy PC Physical Therapist PastSince Jan 1, 2018 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1962610105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452",
            "city": "WARRENSBURG",
            "state": "NY",
            "postal_code": "128850452",
            "telephone_number": "518-623-3410",
            "fax_number": "518-338-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HUDSON ST",
            "city": "WARRENSBURG",
            "state": "NY",
            "postal_code": "128851204",
            "telephone_number": "518-623-3410",
            "fax_number": "518-338-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "AMANDA",
        "middle_name": "AILEEN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.