Amy Fitzsimmons, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Southampton, PA
NPI 1992790927 · NPPES record last updated Sep 20, 2011
Key facts
- NPI
- 1992790927
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- MD045677L (PA)
- Practice address
- 44 Second Street Pike
Southampton, PA 18966-3830 - Phone
- (215) 322-7550
- Fax
- (215) 322-7117
- NPI assigned
- Sep 15, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050502000353 | PA | Practitioner - Physical Medicine and Rehabilitation | 5890734693 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Fitzsimmons, MD , LLC | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| Pennsylvania Orthopedic Associates Inc | Past | Accepting new patients |
Locations
44 2nd Street Pike
Ste 200
Southampton, PA 18966
Phone (215) 322-7550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD045677L | PA | Yes |
Addresses
Primary practice location
44 Second Street Pike
Southampton, PA 18966-3830
Mailing address
44 Second Street Pike
Southampton, PA 18966-3830
Phone (215) 322-7550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF3318 | Other | PA | TRAVELERS MEDICARE |
| 0014219740006 | Medicaid | PA |
Other providers in Southampton, PA
- Avital Laura Feldman
- Christopher Fiordaliso
- First Alert, Inc.
- Barbara Theresa Fisher
- Florrie Fisher
- James William Flanagan Sr.
- Amanda Marie Flavell
- Erica Fleck
- Jane Folk
- Forever Young Home Care Agency Inc
All providers in Southampton, PA · Physical Medicine & Rehabilitation Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.