Individual ProviderAmanda Crystal ViziPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address14330 Oakhill Park Ln Ste 115, Huntersville, NC 28078-3479(704) 316-1265(704) 384-7840PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Crystal Vizi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1245527647Provider TypeIndividualFull NameVizi, Amanda CrystalTitleMs.CredentialD.P.T.GenderFemaleSole ProprietorNoEnumeration Date7/6/2011Last Updated10/26/2020Contact InformationPractice LocationPractice Address14330 Oakhill Park Ln Ste 115, Huntersville, NC 28078-3479Phone(704) 316-1265FaxUnlisted FaxMailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447Phone(704) 384-7840FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12206North CarolinaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT.014605Ohio