Healthcare Provider Details

I. General information

NPI: 1225242902
Provider Name (Legal Business Name): AMELIA ANNE FLECK P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 VALENTINE RD
PITTSFIELD MA
01201-3042
US

IV. Provider business mailing address

169 VALENTINE RD
PITTSFIELD MA
01201-3042
US

V. Phone/Fax

Practice location:
  • Phone: 413-445-2300
  • Fax:
Mailing address:
  • Phone: 413-445-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00766200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL17950
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT6773
License Number StateME
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number017842
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: