Individual provider Active NPI

Amanda Crystal Vizi, D.P.T.

  • Physical Therapist
  • Denver, NC
National Provider Identifier
1245527647
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12206 Issued in NC
Practice address
269 Gillman Rd Ste 200B
Denver, NC 28037-7922
Phone
(704) 316-3104
Fax
(704) 316-3105
NPI assigned
Jul 6, 2011
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12206 NC Primary
Physical Therapist 225100000X PT.014605 OH

Addresses

Primary practice location

269 Gillman Rd Ste 200B
Denver, NC 28037-7922

Mailing address

PO Box 601791
Charlotte, NC 28260-1791
Phone (704) 316-3104

Other practice location 1

14330 Oakhill Park Ln Ste 115
Huntersville, NC 28078-3479
Phone (704) 316-1265

Other practice location 2

5672 W Broad St
Galloway, OH 43119-8127
Phone (614) 878-9000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address atuck441305@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12206NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Health Systems LLC Physical Therapist Past Accepting new patients
Avante Physical Therapy Past Accepting new patients

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, 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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1245527647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791",
            "telephone_number": "704-316-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 GILLMAN RD STE 200B",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377922",
            "telephone_number": "704-316-3104",
            "fax_number": "704-316-3105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14330 Oakhill Park Ln Ste 115",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280783479",
            "country_code": "US",
            "telephone_number": "704-316-1265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5672 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "OH",
            "postal_code": "431198127",
            "country_code": "US",
            "telephone_number": "614-878-9000",
            "fax_number": "614-878-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIZI",
        "first_name": "AMANDA",
        "middle_name": "CRYSTAL",
        "name_prefix": "Ms.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12206",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.014605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atuck441305@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "5672 W Broad St",
            "city": "Galloway",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431198127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.