MEDICARE: AMANDA RIXEY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	11-05947	KS

General Provider Information

NPI Number	:	1093208605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA RIXEY DPT

Provider Business Mailing Address
First Line	:	3011 W 51ST TER
Second Line	:
City	:	WESTWOOD
State	:	KS
Zip	:	66205-1760
Country	:	US
Telephone Number	:	913-485-7984
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301 MISSION RD STE 330
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-3032
Country	:	US
Telephone Number	:	425-341-3128
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2018
Last Update Date	:	12/11/2025

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