Amanda Gagliardi

Individual provider Active NPI Physical Therapist · Greenville, AL

NPI 1467807255 · NPPES record last updated Oct 18, 2022

Key facts

NPI
1467807255
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTH9210 (AL)
Practice address
521 Greenville Byp
Greenville, AL 36037-3732
Phone
(334) 382-5308
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PTH9210ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Associates, LLC Physical Therapist Past
since Oct 23, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 039971 NY
Physical Therapist 225100000X PTH9210 AL Yes

Addresses

Primary practice location

521 Greenville Byp
Greenville, AL 36037-3732

Mailing address

227 New Searcy Rd
Greenville, AL 36037-3739
Phone (716) 946-9711

Other names

  • Amanda Grace Former name

Other providers in Greenville, AL

All providers in Greenville, AL · Physical Therapist in Alabama

Sources for this page

Verify at the official NPI Registry.