MEDICARE: AMANDA PETTY PT, DPT, NCS

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	6557	NV
2	2251N0400X	Neurology Physical Therapist	6557	NV

General Provider Information

NPI Number	:	1619221991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA PETTY PT, DPT, NCS

Provider Business Mailing Address
First Line	:	874 AMERICAN PACIFIC DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-8800
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2850 W HORIZON RIDGE PKWY STE 320
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4395
Country	:	US
Telephone Number	:	702-564-4116
Fax Number	:

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

Provider Enumeration Date	:	11/07/2012
Last Update Date	:	10/11/2024

Similar Medicare Providers

1467782771 — JENNIFER M NASH MPT
Practice Location Address:

2850 W HORIZON RIDGE PKWY STE 320
HENDERSON, NV
89052-4395

Practice Phone: 702-564-4116
Practice Fax:

1306142625 — KRISTINA OSBORNE MS, BCBA
Practice Location Address:

2850 W HORIZON RIDGE PKWY
HENDERSON, NV
89052-4395

Practice Phone: 702-610-2076
Practice Fax: 702-527-6907

1801152855 — UHS OF DESERT SPRINGS, INC.
Practice Location Address:

2850 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV
89052-4395

Practice Phone: 702-313-8446
Practice Fax:

1699022509 — MS. LISA D. HALPIN MS, CCC-SLP
Practice Location Address:

2850 W HORIZON RIDGE PKWY STE 320
HENDERSON, NV
89052-4395

Practice Phone: 702-564-4116
Practice Fax: 702-932-2403

1043632839 — MS. LEAH RUBINSTEIN M.S. CCC-SLP
Practice Location Address:

2850 W HORIZON RIDGE PKWY STE 320
HENDERSON, NV
89052-4395

Practice Phone: 702-564-4116
Practice Fax:

1407275381 — NKDHC RUDNITSKY PLLC
Practice Location Address:

2850 W HORIZON RIDGE PKWY , SUITE 100
HENDERSON, NV
89052-4395

Practice Phone: 702-726-6344
Practice Fax: 702-726-5828

Directions to “ AMANDA PETTY PT, DPT, NCS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.