Amanda Shipley, PT, DPT, MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008129 Issued in GA

Practice address

2786 N Decatur Rd Ste 210
Decatur, GA 30033-5928

Phone

(404) 769-5544

Fax

(404) 990-3543

NPI assigned

Nov 6, 2006

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 1

Other names 1

• Amanda Holt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Northwest Center for Physical Therapy

  • Physical Therapist
  • Park Ridge, IL
  • NPI 1417947763
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1326127689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2786 N DECATUR RD STE 210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335928",
            "telephone_number": "404-769-5544",
            "fax_number": "404-990-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2786 N DECATUR RD STE 210",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335928",
            "telephone_number": "404-769-5544",
            "fax_number": "404-990-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "AMANDA",
        "credential": "PT, DPT, MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISC NUMBER",
            "identifier": "PT008129",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HOLT",
            "credential": "PT, DPT, MTC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharmila Shetty, MD
• Cynthia Ming Shi, MPH, RN
• Brianna Patrice Shields, LPC
• Charanjit S. Shikh, M.D.
• Hyomin Shin, DPT
• Reilly Anne Shirley
• Banafsheh Bonnie Shoai, MD
• Andrea Christine Shoats
• Karen Louise Shoffner, M.D.
• Cassidy Short Hafley

• Physical Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.