Active NPI
Amanda Kelly Southwood, MPT
- Physical Therapist
- Savannah, GA
National Provider Identifier
1285633982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008334
- Practice address
- 1326 Eisenhower Dr
Savannah, GA 31406-3928 - Phone
- (912) 691-4250
- Fax
- (912) 691-4254
- NPI assigned
- Jul 15, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008334 | GA | Primary |
Addresses
Primary practice location
1326 Eisenhower Dr
Savannah, GA 31406-3928
Mailing address
1326 Eisenhower Dr
Savannah, GA 31406-3928
Phone (912) 691-4250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 392723 | Other | GA | BCBS |
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 |
|---|---|---|---|
| PT008334 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1285633982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-691-4250",
"fax_number": "912-691-4254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314063928",
"telephone_number": "912-691-4250",
"fax_number": "912-691-4254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHWOOD",
"first_name": "AMANDA",
"middle_name": "KELLY",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "392723",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.