Active NPIIndividual providerSole proprietor

Amanda Alfonso, PT, DPT, ATC

Physical Therapist in Woodside, New York

NPI Number1104466465
Practice location
42-77 65TH Place, Woodside, NY 11377
Phone
—
Fax
—
Last updated
January 14, 2020

Amanda Alfonso is a Physical Therapist based in Woodside, NY. Amanda Alfonso practices in Woodside, NY and has the professional credentials of PT, DPT, ATC. The NPI Number for Amanda Alfonso is 1104466465 and holds a License No. 045282 (NY). The current practice location address for Amanda Alfonso is 42-77 65TH Place, Woodside, NY 11377.

Provider Profile Details

NPI Number
1104466465
Provider Name
Amanda Alfonso
Credential
PT, DPT, ATC
Provider Entity Type
Individual
Gender
Female
Address
42-77 65TH Place, Woodside, NY 11377
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
January 14, 2020
Last Update Date
January 14, 2020
Certification Date
January 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
42-77 65TH Place
Woodside, NY 11377
Zip
11377
Woodside, NY 11377Get directions →

Provider Business Mailing Address Details

Address
671 John Street
Teaneck, NJ 07666
City
Teaneck
State
NJ
Zip
07666
Phone Number
201-887-3395

License Information

License Number
045282
License State
NY
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda Alfonso, PT, DPT, ATC?

The NPI number of Amanda Alfonso, PT, DPT, ATC is 1104466465. It was assigned on January 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Amanda Alfonso, PT, DPT, ATC?

Amanda Alfonso, PT, DPT, ATC is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 045282.

Where does Amanda Alfonso, PT, DPT, ATC practice?

The practice location is 42-77 65TH Place, Woodside, NY 11377..

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104466465 directly on the NPPES registry website.

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