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NPI Code Detail

MEDICARE: AMY NICOLE FELDMANN M.P.T.

MEDICARE: AMY NICOLE FELDMANN M.P.T.
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
1225100000XPhysical TherapistPT011743LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1232880000OTHERPAINDEPENDENCE BLUE CROSS
2MA1652217OTHERPAHIGHMARK BLUE SHIELD
3250651OTHERPAHEALTH AMER/HEALTH ASSUR.

General Provider Information

NPI Number : 1881781300
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY NICOLE FELDMANN M.P.T.
Provider Business Mailing Address
First Line : 445 OLD EAGLE SCHOOL RD
Second Line :
City : WAYNE
State : PA
Zip : 19087-2006
Country : US
Telephone Number : 610-225-2451
Fax Number : 610-964-6166
Provider Business Practice Location Address
First Line : 445 OLD EAGLE SCHOOL RD
Second Line :
City : WAYNE
State : PA
Zip : 19087-2006
Country : US
Telephone Number : 610-225-2451
Fax Number : 610-964-6166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 10/27/2016

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