Individual provider Active NPI

Amelia Bennett Neal

  • Orthopedic Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1386367118
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT6216 Issued in NM
Practice address
460 Saint Michaels Dr Ste 501
Santa Fe, NM 87505-7632
Phone
(505) 780-8783
Fax
(505) 780-8794
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT6216 NM Primary

Addresses

Primary practice location

460 Saint Michaels Dr Ste 501
Santa Fe, NM 87505-7632

Mailing address

460 Saint Michaels Dr Ste 501
Santa Fe, NM 87505-7632
Phone (505) 780-8783

Other names 1

  • Amy Bennett Neal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324003225 CA Practitioner - Physical Therapist in Private Practice 9739558024 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

1449 W Chapman Ave
Orange, CA 92868-2738
Phone (657) 500-2440

16305 Harbor Blvd
Fountain Valley, CA 92708-1311
Phone (657) 204-2959

18785 Brookhurst St
Suite 104
Fountain Valley, CA 92708-7300
Phone (657) 301-4967

505 N Euclid St
Suite 680
Anaheim, CA 92801-5509
Phone (714) 780-0010

7071 Warner Ave
Suite a
Huntington Beach, CA 92647-5444
Phone (714) 847-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6216NMMDOrthopedic Physical Therapist

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1386367118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR STE 501",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057632",
            "telephone_number": "505-780-8783",
            "fax_number": "505-780-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR STE 501",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057632",
            "telephone_number": "505-780-8783",
            "fax_number": "505-780-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "AMELIA",
        "middle_name": "BENNETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NM",
            "license": "PT6216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "NEAL",
            "middle_name": "BENNETT",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.