Individual provider Active NPI

Amanda Costa

  • Orthopedic Physical Therapist
  • Thomasville, NC
National Provider Identifier
1225862121
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
P23004 Issued in NC
Practice address
711 National Hwy Ste 300
Thomasville, NC 27360-2668
Phone
(336) 475-2000
NPI assigned
Sep 2, 2024
Last updated
Sep 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X P23004 NC Primary

Addresses

Primary practice location

711 National Hwy Ste 300
Thomasville, NC 27360-2668

Mailing address

416 Summertree CT
Winston Salem, NC 27127-6768

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260309000447 NC Practitioner - Physical Therapist in Private Practice 2365925351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Florida International Univ, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Ridge Physical Therapy, Inc.Group PAC ID 5395810808, 7 clinicians

Practice addresses (Care Compare)

1007 NC Hwy 150 W
Suite D
Summerfield, NC 27358-7925
Phone (336) 643-8843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P23004NCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Ridge Physical Therapy, Inc. CurrentSince Jan 22, 2026 Accepting new patients

Locations

2205 Oak Ridge Rd
Ste Ff
Oak Ridge, NC 27310
Phone (336) 644-0201

1007 NC Highway 150 W
Ste D
Summerfield, NC 27358
Phone (336) 643-8843

Organizations & group practices 1

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": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1225862121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 SUMMERTREE CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 NATIONAL HWY STE 300",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273602668",
            "telephone_number": "336-475-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "P23004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.