Healthcare Provider Details

I. General information

NPI: 1457547143
Provider Name (Legal Business Name): AMANDA HAMMONDS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2007
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2864 WOODRUF STREET
FORT LIBERTY NC
28302
US

IV. Provider business mailing address

2817 ROCK MERRITT AVE
FAYETTEVILLE NC
28310
US

V. Phone/Fax

Practice location:
  • Phone: 910-570-3052
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number9874
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9874
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: