Active NPI
Amy Small Lynch, P.T.
- Physical Therapist
- Reidsville, NC
National Provider Identifier
1063523785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8729
- Practice address
- 601 S Main St
Unit B
Reidsville, NC 27320-5035 - Phone
- (336) 342-3383
- Fax
- (336) 342-3384
- NPI assigned
- Aug 31, 2006
- Last updated
- Jun 16, 2014
- 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 | 8729 | NC | Primary |
Addresses
Primary practice location
601 S Main St
Unit B
Reidsville, NC 27320-5035
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211069 | Medicaid | NC | |
| 130VG | Other | NC | BCBS |
Other names 1
- Amy Small
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1063523785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-954-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S MAIN ST",
"address_2": "UNIT B",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205035",
"telephone_number": "336-342-3383",
"fax_number": "336-342-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "AMY",
"middle_name": "SMALL",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211069",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "130VG",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "SMALL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reidsville, NC
- Rhonda Wells Lucas, NP-C
- Scott Alfred Luking, M.D.
- William Stephen Luking, M.D.
- Catherine Parker Lunt, NP
- Andrea Luppino, CF-SLP, CDP
- Annette Madden
- Courtney Lynn Mahon, RN, FNP, AGACNP
- Stacey Makosky
- Maple Avenue Operating Company, LLC (Cypress Valley Center for Nursing and Rehabilitation)
- Margaret Bowen MD PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.