Individual provider Active NPI

Amy Elizabeth Parker, P.T.

  • Physical Therapist
  • Cream Ridge, NJ
National Provider Identifier
1043551625
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00905300 Issued in NJ
Practice address
57 Loveman Rd
Cream Ridge, NJ 08514-2515
Phone
(609) 947-3698
Fax
(609) 372-4519
NPI assigned
Mar 7, 2013
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00905300 NJ Primary

Addresses

Primary practice location

57 Loveman Rd
Cream Ridge, NJ 08514-2515

Mailing address

57 Loveman Rd
Cream Ridge, NJ 08514-2515
Phone (609) 947-3698

Other identifiers 1

IdentifierTypeStateIssuer
40QA00905300OtherNJSTATE OF NEW JERSEY LICENSE

Other names 1

  • Amy Elizabeth Hollis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805000461 FL Practitioner - Physical Therapist in Private Practice 0244476570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00905300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc CurrentSince Aug 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

429 N 1st St
Immokalee, FL 34142
Phone (239) 254-4280

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1043551625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 LOVEMAN RD",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085142515",
            "telephone_number": "609-947-3698",
            "fax_number": "609-372-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 LOVEMAN RD",
            "city": "CREAM RIDGE",
            "state": "NJ",
            "postal_code": "085142515",
            "telephone_number": "609-947-3698",
            "fax_number": "609-372-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00905300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW JERSEY LICENSE",
            "identifier": "40QA00905300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HOLLIS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cream Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.