Individual provider Active NPI

Amy Tice, DPT

  • Physical Therapist
  • Woodstock, GA
National Provider Identifier
1164987889
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013844 Issued in GA
Practice address
6884 Hickory Flat Hwy
Woodstock, GA 30188-3229
Phone
(770) 704-8244
Fax
(770) 704-8264
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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 PT013844 GA Primary

Addresses

Primary practice location

6884 Hickory Flat Hwy
Woodstock, GA 30188-3229

Mailing address

6884 Hickory Flat Hwy
Woodstock, GA 30188-3229
Phone (770) 704-8244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190401000661 GA Practitioner - Physical Therapist in Private Practice 9537400551 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physical Therapy of Georgia, LLCGroup PAC ID 2961312244, 526 clinicians

Practice addresses (Care Compare)

5415 Thompson Mill Rd
Hoschton, GA 30548-4132
Phone (770) 965-3508

Merit-based Incentive Payment System (MIPS)

Final score
86.79 of 100Reported as group
Quality
82.48
Improvement activities
40
Cost
79.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013844GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince May 28, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 28, 2024 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince May 28, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 28, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince May 28, 2024 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince May 28, 2024 Accepting new patients

Locations

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

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

5415 Thompson Mill Rd
Hoschton, GA 30548
Phone (770) 965-3508

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 7

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1164987889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6884 HICKORY FLAT HWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883229",
            "telephone_number": "770-704-8244",
            "fax_number": "770-704-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6884 HICKORY FLAT HWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883229",
            "telephone_number": "770-704-8244",
            "fax_number": "770-704-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "AMY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.