Active NPI
Amanda Jane Sharp, PT, DPT
- Orthopedic Physical Therapist
- Brookhaven, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT015324
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Resurgens, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Resurgens, LLC | Current | 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
- 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.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1386697928
-
- Physical Therapy Clinic/Center
- Lithonia, GA
- NPI 1346119831
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
-
- Orthopaedic Surgery Physician
- Braselton, GA
- NPI 1033919790
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.