Individual provider Active NPI

Amy Watson Hinkel, P.T.

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1184997272
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009298 Issued in GA
Practice address
2300 Holcomb Bridge Rd
Suite 304
Roswell, GA 30076-3481
Phone
(678) 381-1507
NPI assigned
Feb 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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 PT009298 GA Primary

Addresses

Primary practice location

2300 Holcomb Bridge Rd
Suite 304
Roswell, GA 30076-3481

Mailing address

2300 Holcomb Bridge Rd
Suite 304
Roswell, GA 30076-3481
Phone (678) 381-1507

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617001111 TX Practitioner - Physical Therapist in Private Practice 0547236747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Jandj Physical Therapy and WellnessGroup PAC ID 4486994209, 8 clinicians

Practice addresses (Care Compare)

1301 Solana Blvd
Suite 4109
Westlake, TX 76262-2078
Phone (817) 912-1420

5899 Preston Rd
Suite 1001
Frisco, TX 75034-9593
Phone (817) 912-1420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J&J Physical Therapy and Wellness Physical Therapist CurrentSince Mar 14, 2020 Accepting new patients
Restore Physical Therapy and Wellness LLC Physical Therapist Past Accepting new patients

Locations

5899 Preston Rd
Ste 1001
Frisco, TX 75034
Phone (817) 912-1420

280 Commerce St
Ste 115
Southlake, TX 76092
Phone (817) 657-4291

1301 Solana Blvd
Ste 4109
Westlake, TX 76262
Phone (817) 912-1420

Organizations & group practices 2

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": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1184997272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 304",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763481",
            "telephone_number": "678-381-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 304",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763481",
            "telephone_number": "678-381-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKEL",
        "first_name": "AMY",
        "middle_name": "WATSON",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.