NPIMap

Individual provider Active NPI

Amanda Brook Jameson, PT DPT

  • Physical Therapist
  • Grand Prairie, TX
National Provider Identifier
1467700278
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1221749 Issued in TX
Practice address
1901 N Hwy 360 # 320
Grand Prairie, TX 75050-1412
Phone
(972) 239-3633
Fax
(972) 239-3636
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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 1221749 TX Primary

Addresses

Primary practice location

1901 N Hwy 360 # 320
Grand Prairie, TX 75050-1412

Mailing address

709 Prairie Timber Rd
Burleson, TX 76028-7688
Phone (817) 713-4732

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper & Bush Physical Therapy LLC Physical Therapist CurrentSince Jul 23, 2012 Accepting new patients
Al-Inclusive Therapy Services, PLLC CurrentSince Dec 6, 2020 Accepting new patients
Ideal Physical Therapy of Texas LLC PastSince Jul 23, 2012 Accepting new patients

Locations

6080 Southwest Blvd
Benbrook, TX 76109
Phone (817) 731-9331

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1467700278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 PRAIRIE TIMBER RD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287688",
            "telephone_number": "817-713-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N HWY 360 # 320",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501412",
            "telephone_number": "972-239-3633",
            "fax_number": "972-239-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "AMANDA",
        "middle_name": "BROOK",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1221749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.