Individual provider Active NPI

Amanda Kay Griener, MPT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1083751093
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19913 Issued in FL
Practice address
2630 US 1 S
St Augustine, FL 32086-6191
Phone
(904) 829-3411
Fax
(904) 829-3412
NPI assigned
Jan 31, 2007
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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 PT19913 FL Primary

Addresses

Primary practice location

2630 US 1 S
St Augustine, FL 32086-6191

Mailing address

382 Travino Ave
St Augustine, FL 32086-7369
Phone (904) 797-7310

Other identifiers 2

IdentifierTypeStateIssuer
Y01L2OtherFLBCBS
891650100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000279 FL Practitioner - Physical Therapist in Private Practice 0446398135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Physical Therapy IncGroup PAC ID 9436255973, 16 clinicians

Practice addresses (Care Compare)

2630 US 1
St Augustine, FL 32086-6191
Phone (904) 829-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Physical Therapy Inc Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
St. Augustine Foot & Ankle, Inc CurrentSince Apr 13, 2015 Accepting new patients
St. Augustine Foot & Ankle, Inc CurrentSince Apr 13, 2015 Accepting new patients

Locations

2630 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 829-3411

1 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 797-1958

1 University Blvd
St Augustine, FL 32086
Phone (904) 826-0084

209 Blackford Way
Ste A
St Augustine, FL 32086
Phone (904) 907-1122

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.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1083751093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 TRAVINO AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867369",
            "telephone_number": "904-797-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 US 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866191",
            "telephone_number": "904-829-3411",
            "fax_number": "904-829-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIENER",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y01L2",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891650100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.

Verify at the official NPI Registry.