Amanda Kae Gennick, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH4200 Issued in AL

Practice address

44 Hughes Rd Ste 1050
Madison, AL 35758-2237

Phone

(256) 325-5400

Fax

(256) 325-5469

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportsmed Orthopaedic SpecialistsGroup PAC ID 7214903723, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sportsmed Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1508947839
  Medicare reassignment Care Compare group
• Compass Physical Therapy, Inc.

  • Physical Therapist
  • Madison, AL
  • NPI 1982614707
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1306034962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2138",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585416",
            "telephone_number": "256-325-5400",
            "fax_number": "256-325-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD STE 1050",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582237",
            "telephone_number": "256-325-5400",
            "fax_number": "256-325-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNICK",
        "first_name": "AMANDA",
        "middle_name": "KAE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7160485",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051543221",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geise Dental Madison PLLC
• Diane Lam Geise, D.M.D
• James Tyler Geise, DMD
• Robert L Geist, PH.D.
• Genesis Neuropsychiatry, LLC
• Michaela Henderson Gentle, PA-C
• Genuine Therapeutic Care LLC
• Kendal Gerrity, MS, LMFT
• Sunrise Gervais, LMT
• Gibson Dental LLC

• Physical Therapist in Madison, AL
• Providers in Madison, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.