Amanda Catherine Henderson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH4168 Issued in AL

Practice address

2217 Decatur Hwy
Suite 123
Gardendale, AL 35071-2301

Phone

(205) 418-1200

Fax

(205) 418-1210

NPI assigned

May 26, 2006

Last updated

May 7, 2014By the provider in NPPES

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

Other names 1

• Mrs. Amanda Catherine Wang Other name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Beyond Physical Therapy of Vestavia LLCGroup PAC ID 5496129652, 7 clinicians

Birmingham Physical Therapy and Sports Medicine IncGroup PAC ID 2668401993, 8 clinicians

University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beyond Physical Therapy of Vestavia, LLC

  • Physical Therapist
  • Vestavia Hills, AL
  • NPI 1285704270
  Medicare reassignment Care Compare group NPD
• Birmingham Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • Birmingham, AL
  • NPI 1154426260
  Medicare reassignment Care Compare group NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment Care Compare group NPD
• Ati Holdings of Alabama, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Lincoln, AL
  • NPI 1063952646
  Medicare reassignment NPD
• Orthosports Associates LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Birmingham, AL
  • NPI 1114226438
  Medicare reassignment NPD
• Therapy South Homewood LLC

  • Physical Therapist
  • Vestavia Hills, AL
  • NPI 1114304474
  Medicare reassignment NPD
• Vincentian Physician Services LLC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1851698310
  Medicare reassignment NPD
• Orthosports Associates LLC

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1700519600
  NPD
• Accumed Health Services, LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Mobile, AL
  • NPI 1750335832
  NPD (past)
• Jason D. Cobb, MD, LLC

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1639576887
  NPD (past)
• Orthopaedic Specialists of Alabama PC

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1831133586
  NPD (past)
• Orthopaedic Specialists of Alabama, PC

  • Orthopaedic Surgery Physician
  • Talladega, AL
  • NPI 1275843492
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1336195494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 DECATUR HWY",
            "address_2": "SUITE 123",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712301",
            "telephone_number": "205-418-1200",
            "fax_number": "205-418-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 DECATUR HWY",
            "address_2": "SUITE 123",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712301",
            "telephone_number": "205-418-1200",
            "fax_number": "205-418-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "AMANDA",
        "middle_name": "CATHERINE",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6410036",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009967425",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WANG",
            "middle_name": "CATHERINE",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alyssa Brianna Harris
• Patricia Kay Harris, M.D.
• Katherine Swindle Hathorn, SLP
• Healthykids of Gardendale
• Heaven Angel Homehealth LLC (Visiting Angel LLC)
• Karen Henderson, PHARM.D.
• Erin Henley
• Brittney Henson, M.S. CCC-SLP
• Anjanette Hicks
• Heather Hight

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.