AMY BETH WHALEN (NPI# 1679942205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679942205 |
| Entity Type | Individual |
| Full Name | AMY BETH WHALEN |
| Other Name | AMY BETH VARDIAN |
| Credential | PT |
| Practice Address |
11945 Providence Rd Charlotte NC 28277-4454 |
| Mailing Address |
3208 Ringtail Dr Waxhaw NC 28173-7266 |
| Practice Telephone | 9802452006 |
| Mailing Telephone | 7047763111 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2020-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | P10220 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
P10220 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1030 Spanish Moss Rd, Indian Trail, NC 280796622 | 7043511357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598782 | Amy L Whalen | Registered Nurse | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-11-05 |
| 1659318376 | Amy Lea Whalen | Pediatrics | 2300 Childrens Plaza, Urgent Care, Chicago, IL 60614 | 2006-06-01 |
| Street Address |
11945 PROVIDENCE RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014203 | Haley Mastranunzio | Physical Therapist | 11945 Providence Rd, Charlotte, NC 28277-4454 | 2020-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811434129 | Claudian J Davis | Physical Therapist | 8208 Mccarron Way, Charlotte, NC 28215-8716 | 2017-01-24 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1104065028 | Vanesa Garces | Physical Therapist | 2016 Ashland Ave, Charlotte, NC 28205-3604 | 2009-02-17 |
| 1811534571 | Lukas John Sand | Physical Therapist | 8220 University Exec Park Dr Ste 140, Charlotte, NC 28262-1304 | 2019-12-02 |
| 1205224839 | Lucy Hernandez | Physical Therapist | 2101 Runnymede Ln, Charlotte, NC 28209-3316 | 2015-01-06 |
| 1003118977 | Karan Bobby Johar | Physical Therapist | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2010-11-29 |
| 1942434972 | Laura Mason Demilt | Physical Therapist | 3800 Shamrock Dr, Charlotte, NC 28215-3220 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952928129 | Home Strong Therapy LLC | Physical Therapist | 9 Devonshire Dr, Greensboro, NC 27410-2434 | 2020-07-02 |
| 1376164988 | Age Well Nc LLC | Physical Therapist | 1610 Dunn Pl, Hillsborough, NC 27278-7721 | 2020-05-05 |
| 1306497631 | Rehabalance LLC | Physical Therapist | 11518 Grenfell Ave, Huntersville, NC 28078-2473 | 2019-09-27 |
| 1104342260 | Donna Misa | Physical Therapist | 8300 Yaxley Hall Dr, Raleigh, NC 27616-5977 | 2017-08-20 |
| 1548797699 | Carlos Bannister | Physical Therapist | 5908 Peaceful Glen Dr, Pfafftown, NC 27040-9300 | 2017-05-19 |
| 1720435241 | Karen Ross | Physical Therapist | 1512 Edgeware Ct, Fayetteville, NC 28314-1864 | 2016-05-16 |
| 1265843908 | Laura Nobles Elkin | Physical Therapist | 6732 Us Highway 220 S, Asheboro, NC 27205-1578 | 2014-05-15 |
| 1104160878 | Norine Cross | Physical Therapist | 204 Highland Trl, Chapel Hill, NC 27516-8626 | 2012-11-19 |
| 1871855825 | Mike Colegrove | Physical Therapist | 9101 Ashton Brook Dr, Kernersville, NC 27284-8467 | 2012-06-14 |
| 1871892745 | Karen Bolyard | Physical Therapist | 4 Deerwood Ct, Greensboro, NC 27410-9313 | 2011-03-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.