Amanda Kay Erickson, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1789 Issued in ND

Practice address

205 Main St
Williston, ND 58801-6020

Phone

(701) 570-1775

NPI assigned

Aug 28, 2014

Last updated

May 16, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Milestone Health Partners, LLCGroup PAC ID 8729483284, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Milestone Health Partners, LLC

  • Psychologist
  • Williston, ND
  • NPI 1942881560
  Medicare reassignment Care Compare group NPD
• Elite Specialty Clinics, Inc.

  dba Elite Health & Fitness

  • Physical Therapy Clinic/Center
  • Williston, ND
  • NPI 1841594900
  Medicare reassignment NPD
• Elite Specialty Clinics, Inc.

  dba Elite Health

  • Urgent Care Clinic/Center
  • Williston, ND
  • NPI 1235481540
  NPD
• Milestone Health Partners, LLC

  • Multi-Specialty Clinic/Center
  • Williston, ND
  • NPI 1336860428
  NPD

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1972903896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016020",
            "telephone_number": "701-570-1775",
            "fax_number": "701-516-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016020",
            "telephone_number": "701-570-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "ND",
            "license": "1789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terra L Ellingson, LAC, CMHT, CMA
• Marlene Ellis
• Scott Thomas Ellis, DDS
• Hailey Enno
• Lisa Enno
• Gracia Erickson
• Kathryn Evans
• Evolve Therapy and Wellness
• Fairlight Medical Center
• Fairlight Medical Center

• Pediatric Physical Therapist in Williston, ND
• Providers in Williston, ND by specialty
• Pediatric Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.