Provider Demographics
NPI:1811510597
Name:CALIMBAS, AMANDA MEDINA (PT, DPT, CAS)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MEDINA
Last Name:CALIMBAS
Suffix:
Gender:F
Credentials:PT, DPT, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 WARM SUMMER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2732
Mailing Address - Country:US
Mailing Address - Phone:713-253-0781
Mailing Address - Fax:
Practice Address - Street 1:1019 WARM SUMMER DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2732
Practice Address - Country:US
Practice Address - Phone:713-253-0781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12480022251P0200X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics