National Provider Identifier

Amanda Margaret Smith, PTA

Amanda Margaret Smith, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Rochester, NY and a listed phone number of (585) 697-6000.

NPI 1679148688Rochester, NYPhysical Therapy Assistant

Profile Overview

NPI
1679148688
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
May 21, 2021
Last Updated
May 21, 2021

Practice Location

  • 1500 Portland Ave
  • Rochester, NY 14621-3065

Phone: (585) 697-6000

Mailing Address

  • 16 Solmar Dr
  • Rochester, NY 14624-5215

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1679148688
Entity Type
Individual
Last Name
Smith
First Name
Amanda
Middle Name
Margaret
Credential
PTA
Mailing Street Address
16 Solmar Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-5215
Mailing Country
US
Practice Street Address
1500 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3065
Practice Country
US
Practice Phone
(585) 697-6000
Enumeration Date
May 21, 2021
Last Updated
May 21, 2021
Sex
Female
Sole Proprietor
No
Certification Date
May 21, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)