Active NPI
Amanda Strader, PT, ATC
- Physical Therapist
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 7 Oak Branch Dr Ste E
Greensboro, NC 27407-2392 - Phone
- (336) 294-0910
- NPI assigned
- Aug 30, 2006
- Last updated
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
7 Oak Branch Dr Ste E
Greensboro, NC 27407-2392
Mailing address
640 S Van Buren Rd Unit B
Eden, NC 27288-5365
Phone (336) 623-0975
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11322 | Other | NC | PHYSICAL THERAPY |
| 7428 | Other | TN | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
640 S Van Buren Rd
Unit B
Eden, NC 27288-5365
Phone (336) 623-0975
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Ridge Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Integrative Therapies, Inc. | Physical Therapist | Past | Accepting new patients |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
Locations
640 S Van Buren Rd
Unit B
Eden, NC 27288
Phone (336) 275-0927
2205 Oak Ridge Rd
Ste Ff
Oak Ridge, NC 27310
Phone (336) 644-0201
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Oak Ridge, NC
- NPI 1659527729
-
- Physical Therapist
- Greensboro, NC
- NPI 1043278195
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Smyrna, TN
- NPI 1619939766
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1003926965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S VAN BUREN RD UNIT B",
"city": "EDEN",
"state": "NC",
"postal_code": "272885365",
"telephone_number": "336-623-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 OAK BRANCH DR STE E",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274072392",
"telephone_number": "336-294-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRADER",
"first_name": "AMANDA",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "11322",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "7428",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.