Provider Demographics
NPI:1689604258
Name:STRANG, AMANDA J (PT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:J
Last Name:STRANG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:J
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:204 MEDICAL DR STE 160
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-6374
Mailing Address - Country:US
Mailing Address - Phone:903-892-4800
Mailing Address - Fax:903-892-4444
Practice Address - Street 1:204 MEDICAL DR STE 160
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-6374
Practice Address - Country:US
Practice Address - Phone:903-892-4800
Practice Address - Fax:903-892-4444
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28835225100000X
TX1228438225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686520Medicare UPIN
IN000000613726OtherBLUE CROSS BLUE SHIELD
ILK28337Medicare PIN
ILK28336Medicare PIN
IN000000613994OtherBLUE CROSS BLUE SHIELD
IN216070ZZMedicare PIN