Individual provider Active NPI

Amarae Reinard

  • Physical Therapist
  • Kennesaw, GA
National Provider Identifier
1447700281
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTT31965 Issued in FL
Practice address
1990 Vaughn Rd NW
Suite 330
Kennesaw, GA 30144-7098
Phone
(678) 403-3632
NPI assigned
Oct 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTT31965 FL Primary

Addresses

Primary practice location

1990 Vaughn Rd NW
Suite 330
Kennesaw, GA 30144-7098

Mailing address

1990 Vaughn Rd NW
Suite 330
Kennesaw, GA 30144-7098

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT31965FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Rehab Management, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1447700281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 VAUGHN RD NW",
            "address_2": "SUITE 330",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 VAUGHN RD NW",
            "address_2": "SUITE 330",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447098",
            "telephone_number": "678-403-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINARD",
        "first_name": "AMARAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT31965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.