Active NPI
Amanda Sweig-Green, PT, DPT
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1477013704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-30427
- Practice address
- 2225 W Southern Ave Unit B
Mesa, AZ 85202-4716 - Phone
- (480) 462-3880
- NPI assigned
- Mar 22, 2019
- 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 | LPT-30427 | AZ | Primary |
Addresses
Primary practice location
2225 W Southern Ave Unit B
Mesa, AZ 85202-4716
Mailing address
3933 S Crosscreek Dr
Chandler, AZ 85286-2411
Other practice location 1
1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-5439
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-30427 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Way to Grow, 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": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1477013704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3933 S CROSSCREEK DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852862411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 W SOUTHERN AVE UNIT B",
"city": "MESA",
"state": "AZ",
"postal_code": "852024716",
"telephone_number": "480-462-3880"
}
],
"practiceLocations": [
{
"address_1": "1400 S Dobson Rd",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852024707",
"country_code": "US",
"telephone_number": "480-412-5439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWEIG-GREEN",
"first_name": "AMANDA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-22",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-30427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.