Active NPI
Amy Jo Gomes, R.P.T.
- Pediatric Physical Therapist
- Clermont, FL
National Provider Identifier
1144317595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT2879
- Practice address
- 2400 S Highway 27 Ste B201
Clermont, FL 34711-6816 - Phone
- (352) 394-0212
- Fax
- (352) 241-6361
- NPI assigned
- Oct 6, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT2879 | FL | Primary |
Addresses
Primary practice location
2400 S Highway 27 Ste B201
Clermont, FL 34711-6816
Mailing address
12118 Cypress LN
Clermont, FL 34711-8591
Phone (352) 406-0922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 880121500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5165 Adanson St
Orlando, FL 32804-1331
Phone (352) 394-0212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Dreamplex LLC | Past | Accepting new patients | |
| Central Florida Dreamplex LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Clermont, FL
- NPI 1215017512
-
- Developmental Therapist
- Clermont, FL
- NPI 1457526378
-
- Durable Medical Equipment & Medical Supplies
- Clermont, FL
- NPI 1952523490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1144317595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12118 CYPRESS LN",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347118591",
"telephone_number": "352-406-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S HIGHWAY 27 STE B201",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116816",
"telephone_number": "352-394-0212",
"fax_number": "352-241-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMES",
"first_name": "AMY",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT2879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "880121500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.