Individual provider Active NPI

Amanda Jane Sharp, PT, DPT

  • Orthopedic Physical Therapist
  • Brookhaven, GA
National Provider Identifier
1255903316
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT015324 Issued in GA
Practice address
Emory Sports Medicine Complex
1968 Hawks Lane
Brookhaven, GA 30329
Phone
(404) 778-6330
Fax
(404) 778-6370
NPI assigned
Jul 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 PT015324 GA Primary

Addresses

Primary practice location

Emory Sports Medicine Complex
1968 Hawks Lane
Brookhaven, GA 30329

Mailing address

4949 Oakdale Rd SE Apt 134
Smyrna, GA 30080-7160
Phone (847) 894-4557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916000699 GA Practitioner - Physical Therapist in Private Practice 5597162610 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC Current Accepting new patients
Emory Physical Therapy, LLC CurrentSince Aug 1, 2021 Accepting new patients
Resurgens, LLC CurrentSince Sep 18, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Aug 1, 2021 Accepting new patients
Resurgens, LLC CurrentSince Sep 18, 2025 Accepting new patients

Locations

4450 Calibre Xing NW
Ste 1225
Acworth, GA 30101
Phone (704) 915-4817

4550 Cobb Parkway North NW
Ste 309G
Acworth, GA 30101
Phone (678) 213-5717

1968 Hawks Ln NE
Brookhaven, GA 30329
Phone (404) 251-2537

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

8259 Wicker Ave
Saint John, IN 46373
Phone (219) 365-6560

Interoperability endpoints

  • Direct secure messaging: amanda.sharp.1@15749.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1255903316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 OAKDALE RD SE APT 134",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807160",
            "telephone_number": "847-894-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMORY SPORTS MEDICINE COMPLEX",
            "address_2": "1968 HAWKS LANE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "30329",
            "telephone_number": "404-778-6330",
            "fax_number": "404-778-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT015324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.