Active NPI
Amber Shealy, DPT
- Physical Therapist
- Greenville, GA
National Provider Identifier
1356032585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016552
- Practice address
- PO Box 70
Greenville, GA 30222-0070 - Phone
- (706) 441-0601
- NPI assigned
- May 18, 2023
- Last updated
- Jul 24, 2024
- 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 | PT016552 | GA | Primary |
Addresses
Primary practice location
PO Box 70
Greenville, GA 30222-0070
Mailing address
261 Old Chipley Rd
Pine Mountain, GA 31822-5015
Phone (706) 402-0041
Other practice location 1
261 Old Chipley Rd
Pine Mountain, GA 31822-5015
Phone (706) 402-0041
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016552 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1356032585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 OLD CHIPLEY RD",
"city": "PINE MOUNTAIN",
"state": "GA",
"postal_code": "318225015",
"telephone_number": "706-402-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 70",
"city": "GREENVILLE",
"state": "GA",
"postal_code": "302220070",
"telephone_number": "706-441-0601"
}
],
"practiceLocations": [
{
"address_1": "261 Old Chipley Rd",
"address_purpose": "LOCATION",
"city": "Pine Mountain",
"state": "GA",
"postal_code": "318225015",
"country_code": "US",
"telephone_number": "706-402-0041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEALY",
"first_name": "AMBER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, GA
- Pathways Center for Behavioral and Developmental Growth
- Pathways Center for Behavioral and Developmental Growth
- Pathways Hopes Corner (Hopes Corner)
- Pruitthealth - Greenville LLC (PruittHealth - Greenville)
- Laurie Smith Roberts, RN
- Selma Luella Smith, RN
- Amanda Ledford Snyder, APRN
- Southwest Medical Clinic,Inc.
- Charles Allen Tigner
- U Save It Pharmacy Inc (U Save It Pharmacy #23)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.