Active NPI
Amanda Flory Renfro, PT, DPT
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1457928814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1345854
- Practice address
- 4901 Bryant Irvin Rd N Ste 200
Fort Worth, TX 76107-7673 - Phone
- (817) 433-9742
- NPI assigned
- Jun 4, 2021
- 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 | 1345854 | TX | Primary |
Addresses
Primary practice location
4901 Bryant Irvin Rd N Ste 200
Fort Worth, TX 76107-7673
Mailing address
1013 Westgrove Dr
Saginaw, TX 76179-3443
Phone (817) 296-5466
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 |
|---|---|---|---|
| 1345854 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1457928814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 WESTGROVE DR",
"city": "SAGINAW",
"state": "TX",
"postal_code": "761793443",
"telephone_number": "817-296-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 BRYANT IRVIN RD N STE 200",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077673",
"telephone_number": "817-433-9742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFRO",
"first_name": "AMANDA",
"middle_name": "FLORY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-04",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1345854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.