Individual provider Active NPI

Amanda Rose Richter McCreight, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1285266965
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
600 S Main St
Fort Worth, TX 76104-2410
Phone
(817) 822-2400
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 1328042 TX
Physical Therapist 225100000X Primary

Addresses

Primary practice location

600 S Main St
Fort Worth, TX 76104-2410

Mailing address

855 E Ash LN Apt 710
Euless, TX 76039-5732
Phone (817) 597-4577

Other identifiers 1

IdentifierTypeStateIssuer
1328042OtherTXLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EPIC Health Information Exchange (HIE) UT Southwestern Moncrief Cancer Center

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200413000588 TX Practitioner - Physical Therapist in Private Practice 2769811843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Physical Recovery IncGroup PAC ID 2264766849, 2 clinicians

Practice addresses (Care Compare)

6913 Camp Bowie Blvd
Suite 177
Fort Worth, TX 76116-7169
Phone (682) 312-7693

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1328042TXMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Physical Recovery Inc Physical Therapist CurrentSince Nov 18, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas Physical Therapist Past Accepting new patients

Locations

6913 Camp Bowie Blvd
Ste 177
Fort Worth, TX 76116
Phone (682) 312-7693

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1285266965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E ASH LN APT 710",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760395732",
            "telephone_number": "817-597-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042410",
            "telephone_number": "817-822-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREIGHT",
        "first_name": "AMANDA",
        "middle_name": "ROSE RICHTER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1328042",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1328042",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "Y",
            "affiliationName": "UT Southwestern Moncrief Cancer Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 S Main St",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.