Active NPIIndividual provider

Amanda Notley-Kim, PT

Physical Therapist in Valley Cottage, New York

NPI Number1588022982
Practice location
15 Lake Ridge Plz, Valley Cottage, NY 10989-1925
Fax
845-675-0333
Last updated
April 20, 2023

Amanda Notley-Kim is a Physical Therapist based in Valley Cottage, NY. Amanda Notley-Kim practices in Valley Cottage, NY and has the professional credentials of PT. The NPI Number for Amanda Notley-Kim is 1588022982 and holds a License No. 039663 (NY). The current practice location address for Amanda Notley-Kim is 15 Lake Ridge Plz, Valley Cottage, NY 10989-1925 and can be reached out via phone at 845-675-8444 and via fax at 845-675-0333.

Provider Profile Details

NPI Number
1588022982
Provider Name
Amanda Notley-Kim
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
15 Lake Ridge Plz, Valley Cottage, NY 10989-1925
Phone Number
845-675-8444
Fax Number
845-675-0333
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
Amanda Notley (Former Name)
Provider Enumeration Date
February 1, 2016
Last Update Date
April 20, 2023
Certification Date
April 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Lake Ridge Plz
Valley Cottage, NY 10989-1925
Zip
10989-1925
Phone Number
845-675-8444
Fax Number
845-675-0333
Valley Cottage, NY 10989Get directions →

Provider Business Mailing Address Details

Address
Po Box 493
Valley Cottage, NY 10989-0493
City
Valley Cottage
State
NY
Zip
10989-0493
Phone Number
845-675-8444
Fax Number
845-675-0333

License Information

License Number
039663
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 Notley-Kim, PT?

The NPI number of Amanda Notley-Kim, PT is 1588022982. It was assigned on February 1, 2016 and is currently active in the NPPES registry.

What is the specialty of Amanda Notley-Kim, PT?

Amanda Notley-Kim, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 039663.

Where does Amanda Notley-Kim, PT practice?

The practice location is 15 Lake Ridge Plz, Valley Cottage, NY 10989-1925. The office can be reached at 845-675-8444 (phone) or 845-675-0333 (fax).

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 1588022982 directly on the NPPES registry website.

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