Individual provider Active NPI

Amanda Roth Briggs, PT, DPT

  • Physical Therapist
  • Johns Creek, GA
National Provider Identifier
1205444882
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014618 Issued in GA
Practice address
3005 Old Alabama Rd Ste 10
Johns Creek, GA 30022-1924
Phone
(770) 552-8852
NPI assigned
Jul 20, 2020
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 PT014618 GA Primary

Addresses

Primary practice location

3005 Old Alabama Rd Ste 10
Johns Creek, GA 30022-1924

Mailing address

3004 Druid Hills Reserve Dr NE
Atlanta, GA 30329-2040
Phone (863) 327-2258

Other practice location 1

505 Irvin Ct Ste 101
Decatur, GA 30030-1780
Phone (404) 297-0821

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002137 GA Practitioner - Physical Therapist in Private Practice 8921402868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Alliance Sports Medicine LLCGroup PAC ID 4981025269, 7 clinicians
Physical Therapy 360 DegreesGroup PAC ID 6305147836, 5 clinicians

Practice addresses (Care Compare)

6110 McFarland Station Dr
Suite 400
Alpharetta, GA 30004-6801
Phone (770) 851-9890

800 Mount Vernon Hwy NE
Suite 140
Atlanta, GA 30328-4293
Phone (678) 430-8107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014618GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy 360 Degrees Physical Therapist CurrentSince May 30, 2022 Accepting new patients
Body-N-Balance Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Alliance Sports Medicine LLC CurrentSince Apr 15, 2022 Accepting new patients
Esop Rehabilitation, LLC Physical Therapist PastSince Aug 1, 2020 Accepting new patients
NPI 1538164553 PastSince Aug 1, 2020 Accepting new patients

Locations

6110 McFarland Station Dr
Unit 400
Alpharetta, GA 30004
Phone (770) 851-9890

3565 Piedmont Rd NE
Ste 310
Atlanta, GA 30305
Phone (404) 352-8900

3005 Old Alabama Rd
Ste 10
Johns Creek, GA 30022
Phone (770) 252-8852

800 Mount Vernon Hwy NE
Ste 140
Sandy Springs, GA 30328
Phone (678) 430-8107

Organizations & group practices 4

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1205444882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 DRUID HILLS RESERVE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292040",
            "telephone_number": "863-327-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 OLD ALABAMA RD STE 10",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300221924",
            "telephone_number": "770-552-8852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Irvin Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301780",
            "country_code": "US",
            "telephone_number": "404-297-0821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH BRIGGS",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.