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
- Last updated
- 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
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
#C
Mobile, AL 36606
Phone (251) 470-7772
316 S Sage Ave
Ste C
Mobile, AL 36606
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Mobile, AL
- NPI 1649392051
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.