Individual provider Active NPI

Amanda Gayle Price, DPT

  • Physical Therapist
  • Johnson City, TN
National Provider Identifier
1093059172
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10680 Issued in TN
Practice address
2312 Knob Creek Rd Ste 200
Johnson City, TN 37604-2367
Phone
(423) 232-8302
Fax
(423) 794-1485
NPI assigned
Nov 15, 2012
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 10680 TN Primary

Addresses

Primary practice location

2312 Knob Creek Rd Ste 200
Johnson City, TN 37604-2367

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

320 Bristol West Blvd
Suite 2A
Bristol, TN 37620-8772
Phone (423) 758-1048

Other practice location 2

1919 Charlotte Ave Ste 220
Nashville, TN 37203-2245
Phone (615) 656-0530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170504000147 TN Practitioner - Physical Therapist in Private Practice 4082869920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

320 Bristol W Blvd
Suite 2a
Bristol, TN 37620-8773
Phone (423) 758-1048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10680TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 13, 2017 Accepting new patients
Agilitas USA, Inc CurrentSince Mar 13, 2017 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Body Owners Physical Therapy & Wellness Center, LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

320 Bristol West Blvd
Ste 2A
Bristol, TN 37620
Phone (423) 758-1048

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

2312 Knob Creek Rd
Ste 200
Johnson City, TN 37604
Phone (423) 232-8302

1420 W Baddour Pkwy
Ste 120
Lebanon, TN 37087
Phone (615) 443-9036

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

1919 Charlotte Ave
Ste 220
Nashville, TN 37203
Phone (615) 327-3273

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 5

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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1093059172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 KNOB CREEK RD STE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042367",
            "telephone_number": "423-232-8302",
            "fax_number": "423-794-1485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Bristol West Blvd",
            "address_2": "Suite 2A",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376208772",
            "country_code": "US",
            "telephone_number": "423-758-1048",
            "fax_number": "423-758-1049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 Charlotte Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032245",
            "country_code": "US",
            "telephone_number": "615-656-0530",
            "fax_number": "615-656-0531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "AMANDA",
        "middle_name": "GAYLE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.