AMANDA LEE FLEMING PT NPI 1366616898

NPI Information

NPI: 1366616898
Provider Name: AMANDA LEE FLEMING, PT
Classification: Clinic/Center - 261QR0401X
Entity Type: Individual

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
389 KANE STREET
GATE CITY, VA
ZIP 24251
Phone: (276) 386-2424
Get Directions

Amanda Lee Fleming, PT is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Gate City, VA. Amanda Lee Fleming, PT NPI is 1366616898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

389 KANE STREET
GATE CITY, VA
ZIP 24251
Phone: (276) 386-2424
Fax: (276) 386-2349

The enumeration date for this NPI number is 4/16/2008 and was last updated on 10/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225100000X	Physical Therapist		2305204535	VIRGINIA	No
2	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	2305204535	VIRGINIA	Yes
3	225100000X	Physical Therapist		6604	TENNESSEE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004979681	MEDICAID	VIRGINIA
2	4979681	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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