Amanda Jean McMahan, MS, AT, ATC

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

AT. 003709 Issued in OH

Practice address

262 State Route 58
Sullivan, OH 44880-9762

Phone

(440) 653-1809

NPI assigned

Apr 24, 2014

Last updated

Apr 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Amanda Jean Kohls Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1972923399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAST WASHINGTON STREET",
            "address_2": "MEDINA HOSPITAL REHAB AND SPORTS THERAPY",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-725-1000",
            "fax_number": "330-721-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 STATE ROUTE 58",
            "city": "SULLIVAN",
            "state": "OH",
            "postal_code": "448809762",
            "telephone_number": "440-653-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MS, AT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "OH",
            "license": "AT. 003709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KOHLS",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "MS, AT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Annaclaire Lackney
• Sheila Diane Lawson
• Gerald Linden, LPN
• Emma Ranee Lindenberger
• Paula N Lower, LPN
• Patricia Ann Moskal, LPN
• Tina Patterson
• Amanda Marie Snyder
• Sullivan Township Board of Trustees (Sullivan Volunteer Fire Department)
• Robert Tucker Jr.

• Rehabilitation Hospital in Sullivan, OH
• Providers in Sullivan, OH by specialty
• Rehabilitation Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.