Active NPI
Nisha Patel Amtha
- Physical Therapist
- Mobile, AL
National Provider Identifier
1164655866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH 4145
- Practice address
- 316C S Sage Ave
Mobile, AL 36606-3616 - Phone
- (251) 470-7772
- NPI assigned
- Aug 27, 2009
- 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 | PTH 4145 | AL | Primary |
Addresses
Primary practice location
316C S Sage Ave
Mobile, AL 36606-3616
Mailing address
2598 Government Blvd
Mobile, AL 36606-1614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091014000450 | AL | Practitioner - Physical Therapist in Private Practice | 8527104009 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
316 C S Sage Ave
Mobile, AL 36606-3616
Phone (251) 470-7772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH 4145 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azalea City Physical Therapy | Current | Accepting new patients |
Locations
316 S Sage Ave
Ste C
Mobile, AL 36606
316 S Sage Ave
#C
Mobile, AL 36606
Phone (251) 470-7772
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": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1164655866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2598 GOVERNMENT BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366061614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316C S SAGE AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063616",
"telephone_number": "251-470-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMTHA",
"first_name": "NISHA",
"middle_name": "PATEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH 4145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.