Provider Demographics
NPI:1376429100
Name:ARMSTRONG, AMANDA FAYE (DPT)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:FAYE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 MATHEWS AVE
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-3714
Mailing Address - Country:US
Mailing Address - Phone:607-684-8663
Mailing Address - Fax:
Practice Address - Street 1:44 DWIGHT AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NY
Practice Address - Zip Code:13323-1600
Practice Address - Country:US
Practice Address - Phone:315-723-2886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054646225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist