Individual provider Active NPI

Amy M Gremillion, P.T.

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1114350683
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1231929 Issued in TX
Practice address
800 Bering Dr Ste 101
Houston, TX 77057-2130
Phone
(832) 494-2200
Fax
(281) 768-4610
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 1231929 TX Primary

Addresses

Primary practice location

800 Bering Dr Ste 101
Houston, TX 77057-2130

Mailing address

800 Bering Dr Ste 101
Houston, TX 77057-2130
Phone (832) 494-2200

Other identifiers 1

IdentifierTypeStateIssuer
1231929OtherTXLICENSE NUMBER

Other names 1

  • Amy M Lovell Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021000055 TX Practitioner - Physical Therapist in Private Practice 0941435358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliates Prime Plus, LLCGroup PAC ID 4284098419, 7 clinicians

Practice addresses (Care Compare)

800 Bering Dr
Suite 101
Houston, TX 77057-2130
Phone (832) 494-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates Prime Plus, LLC Physical Therapist CurrentSince May 31, 2022 Accepting new patients

Locations

800 Bering Dr
Ste 101
Houston, TX 77057
Phone (832) 494-2200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1114350683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BERING DR STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572130",
            "telephone_number": "832-494-2200",
            "fax_number": "281-768-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BERING DR STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572130",
            "telephone_number": "832-494-2200",
            "fax_number": "281-768-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREMILLION",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1231929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1231929",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LOVELL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.