Active NPI
Amanda Beth Williams, LPTA
- Physical Therapy Assistant
- Starkville, MS
National Provider Identifier
1992142590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5010
- Practice address
- 1001 Hospital Rd
Starkville, MS 39759-2125 - Phone
- (662) 323-6360
- NPI assigned
- May 23, 2013
- Last updated
- May 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5010 | MS | Primary |
| Physical Therapy Assistant | 225200000X | 5152 | TN | |
| Physical Therapy Assistant | 225200000X | 6301 | AL |
Addresses
Primary practice location
1001 Hospital Rd
Starkville, MS 39759-2125
Mailing address
2301 5TH St N
Apt. J78
Columbus, MS 39705-2248
Phone (256) 335-5891
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301 | AL | MD | Dentist |
| 5010 | MS | MD | Physical Therapy Assistant |
| 5152 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1992142590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 5TH ST N",
"address_2": "APT. J78",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052248",
"telephone_number": "256-335-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 HOSPITAL RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592125",
"telephone_number": "662-323-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "AMANDA",
"middle_name": "BETH",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MS",
"license": "5010",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "5152",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "6301",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Starkville, MS
- Johnnie Susan Cooper Wijewardane, PHD, FNP
- Wilbea Medical Equipment LLC
- William Bell Montgomery, LLC (Montgomery Gardens)
- Allyn F Williams, LPC, NCSC
- Alyka H Williams, M.S., CCC-SLP
- Eileen Yvette Williams, BSN, RN, NCSN
- Jessica Seante Williams
- Kenny Marshall Lee Williams
- Rex B Williams, M.D.
- Connie N Wilson, MED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.