Amanda Jean McMahan, MS, AT, ATC
Individual provider Active NPI Rehabilitation Hospital · Sullivan, OH
NPI 1972923399 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1972923399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- License
- AT. 003709 (OH)
- Practice address
- 262 State Route 58
Sullivan, OH 44880-9762 - Phone
- (440) 653-1809
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT. 003709 | OH | MD | Rehabilitation Hospital |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | AT. 003709 | OH | Yes |
Addresses
Primary practice location
262 State Route 58
Sullivan, OH 44880-9762
Mailing address
100 East Washington Street
Medina Hospital Rehab and Sports Therapy
Medina, OH 44256
Phone (330) 725-1000
Other names
- Miss Amanda Jean Kohls
Other providers in Sullivan, OH
- Annaclaire Lackney
- Sheila Diane Lawson
- Gerald Linden
- Emma Ranee Lindenberger
- Paula N Lower
- Patricia Ann Moskal
- Tina Patterson
- Amanda Marie Snyder
- Sullivan Township Board of Trustees
- Robert Tucker Jr.
All providers in Sullivan, OH · Rehabilitation Hospital in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.