Individual provider Active NPI

Amanda Christine Johnson, PT, DPT

  • Physical Therapist
  • Homewood, AL
National Provider Identifier
1184072571
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7292 Issued in AL
Practice address
1910 28TH Ave S Ste 104
Homewood, AL 35209-2604
Phone
(205) 202-2273
Fax
(205) 202-2308
NPI assigned
May 26, 2016
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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 PTH7292 AL Primary

Addresses

Primary practice location

1910 28TH Ave S Ste 104
Homewood, AL 35209-2604

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217

Other practice location 1

5018 Cahaba River Road
Birmingham, AL 35243-2317
Phone (205) 747-2710

Other names 1

  • Amanda Christine Elliott Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160819000171 AL Practitioner - Physical Therapist in Private Practice 3779878459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Benchmark Physical Therapy of Alabama, LLCGroup PAC ID 5698930444, 73 clinicians

Practice addresses (Care Compare)

1713 Montgomery Hwy
Suite 131
Hoover, AL 35244-1254
Phone (205) 403-8701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Nov 10, 2019 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Oct 22, 2018 Accepting new patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Sep 19, 2017 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist Past Accepting new patients

Locations

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

151 Fly Creek Ave
Ste 438
Fairhope, AL 36532
Phone (251) 928-9619

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

3947 Gulf Shores Pkwy
Ste 260
Gulf Shores, AL 36542
Phone (251) 943-0803

1910 28th Ave S
Ste 104
Homewood, AL 35209
Phone (205) 202-2273

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

1713 Montgomery Hwy
Ste 131
Hoover, AL 35244
Phone (205) 403-8701

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

7721 Airport Blvd
Ste E120
Mobile, AL 36608
Phone (251) 631-3680

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1184072571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 28TH AVE S STE 104",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092604",
            "telephone_number": "205-202-2273",
            "fax_number": "205-202-2308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5018 Cahaba River Road",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352432317",
            "country_code": "US",
            "telephone_number": "205-747-2710",
            "fax_number": "205-747-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ELLIOTT",
            "middle_name": "CHRISTINE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.