Active NPI
Amy McWaters, PT
- Physical Therapist
- Louisville, KY
National Provider Identifier
1245718188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004518
- Practice address
- 2001 Newburg Rd
Louisville, KY 40205-1863 - Phone
- (502) 494-3659
- NPI assigned
- Aug 2, 2018
- Last updated
- Aug 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004518 | KY | Primary |
Addresses
Primary practice location
2001 Newburg Rd
Louisville, KY 40205-1863
Mailing address
2407 Northfield CT
Louisville, KY 40222-6319
Phone (502) 494-3659
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004518 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Center,LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Center Two, LLC | Past | Accepting new patients |
Locations
1730 Dickerson Blvd
Ste D
Monroe, NC 28110
Phone (704) 283-6700
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.
-
dba Ambassador Physical Therapy
- Physical Therapist
- Monroe, NC
- NPI 1053545988
-
dba Physical Therapy Center, LLC
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1861934010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1245718188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 NORTHFIELD CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402226319",
"telephone_number": "502-494-3659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 NEWBURG RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402051863",
"telephone_number": "502-494-3659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWATERS",
"first_name": "AMY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-02",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.