Individual provider Active NPI

Amy L Prewitt, MSPT

  • Physical Therapist
  • Vestavia Hills, AL
National Provider Identifier
1215945464
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PHT1541 Issued in AL
Practice address
1425 Montgomery Hwy Ste 179
Vestavia Hills, AL 35216-3683
Phone
(205) 533-7066
NPI assigned
Aug 4, 2006
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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 PHT1541 AL Primary

Addresses

Primary practice location

1425 Montgomery Hwy Ste 179
Vestavia Hills, AL 35216-3683

Mailing address

1425 Montgomery Hwy Ste 179
Vestavia Hills, AL 35216-3683
Phone (205) 533-7066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000749 AL Practitioner - Physical Therapist in Private Practice 4082645577 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PHT1541ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Sports Medicine Birmingham, LLC. CurrentSince Jul 25, 2022 Accepting new patients
Champion Sports Medicine Birmingham, LLC. Physical Therapist Current Accepting new patients
Champion Sports Medicine Birmingham, LLC. PastSince Jul 25, 2022 Accepting new patients
Performance Group Birmingham, LLC Physical Therapist Past Accepting new patients
Performance Group Cullman, LLC Physical Therapist Past Accepting new patients
Performance Group Albertville Physical Therapist Past Accepting new patients

Locations

2050 Gadsden Hwy
Ste 104
Trussville, AL 35235
Phone (205) 655-7231

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1215945464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MONTGOMERY HWY STE 179",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163683",
            "telephone_number": "205-533-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MONTGOMERY HWY STE 179",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163683",
            "telephone_number": "205-533-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PHT1541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.