Active NPI
Amy Brooke Fee, DPT, OCS, ATC, CSCS
- Orthopedic Physical Therapist
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 27397
- Practice address
- 1448 15TH St
Suite 101
Santa Monica, CA 90404-2756 - Phone
- (310) 393-1703
- Fax
- (310) 943-0462
- NPI assigned
- Apr 17, 2007
- Last updated
- Jul 15, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27397 | CA | |
| Sports Physical Therapist | 2251S0007X | 27397 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 27397 | CA | Primary |
| Athletic Trainer | 2255A2300X | CERT # 099402403 | CO |
Addresses
Primary practice location
1448 15TH St
Suite 101
Santa Monica, CA 90404-2756
Mailing address
1448 15TH St
Suite 101
Santa Monica, CA 90404-2756
Phone (310) 393-1703
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7030 | Other | CO | PT LICENSE NUMBER |
| W22042 | Other | CA | MEDICARE PTAN |
| 7521525 | Other | CA | AETNA |
| ZZZ08333Z | Other | CA | BLUE SHIELD |
Other names 1
- Amy Brooke Peach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3435 Ocean Park Blvd
Suite 111
Santa Monica, CA 90405-3318
Phone (310) 393-1703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERT # 099402403 | CO | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Fee Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| The Cypress Center, a Physical Therapy Corporation | Physical Therapist | Past | Accepting new patients |
| Westside Hand Therapy Inc. | Physical Therapist | Past | Accepting new patients |
| Cypress Physical Therapy Center, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1448 15th St
Ste 101
Santa Monica, CA 90404
Phone (310) 393-1703
3435 Ocean Park Blvd
Ste 111
Santa Monica, CA 90405
Phone (310) 393-1703
900 Wilshire Blvd
Ste 420
Santa Monica, CA 90401
Phone (310) 393-1702
Organizations & group practices 4
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.
-
dba Westside Wellness & Rehabilitation
- Physical Therapist
- Santa Monica, CA
- NPI 1184733818
-
- Orthopedic Physical Therapist
- Pacific Palisades, CA
- NPI 1831977230
-
- Physical Therapist
- Pacific Palisades, CA
- NPI 1265509079
-
- Hand Occupational Therapist
- Beverly Hills, CA
- NPI 1679625594
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1427274869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 15TH ST",
"address_2": "SUITE 101",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042756",
"telephone_number": "310-393-1703",
"fax_number": "310-943-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1448 15TH ST",
"address_2": "SUITE 101",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042756",
"telephone_number": "310-393-1703",
"fax_number": "310-943-0462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEE",
"first_name": "AMY",
"middle_name": "BROOKE",
"credential": "DPT, OCS, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "27397",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "27397",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "27397",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CO",
"license": "CERT # 099402403",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE NUMBER",
"identifier": "7030",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "W22042",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7521525",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ08333Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "PEACH",
"middle_name": "BROOKE",
"credential": "DPT, OCS, ATC, CSCS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.