Individual provider Active NPI

Amber Nichelle Oates, PT, DPT, OCS, CSCS

  • Orthopedic Physical Therapist
  • Odessa, FL
National Provider Identifier
1497268841
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
38952 Issued in FL
Practice address
1332 Fussell Hollow Rd
Odessa, FL 33556-3800
Phone
(813) 785-6664
NPI assigned
Nov 8, 2017
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1298731 TX
Physical Therapist 225100000X PT61243773 WA
Orthopedic Physical Therapist 2251X0800X 38952 FL Primary

Addresses

Primary practice location

1332 Fussell Hollow Rd
Odessa, FL 33556-3800

Mailing address

1332 Fussell Hollow Rd
Odessa, FL 33556-3800
Phone (813) 785-6664

Other practice location 1

18946 N Dale Mabry Hwy
Lutz, FL 33548-4900
Phone (813) 388-5334

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
1298731TXMDPhysical Therapist
38952FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 15, 2022 Accepting new patients
Tampa Choice Therapy LLC PastSince Jul 25, 2021 Accepting new patients
Physiotherapy Associates Inc PastSince Jan 1, 2022 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1497268841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 FUSSELL HOLLOW RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563800",
            "telephone_number": "813-785-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 FUSSELL HOLLOW RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563800",
            "telephone_number": "813-785-6664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18946 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335484900",
            "country_code": "US",
            "telephone_number": "813-388-5334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OATES",
        "first_name": "AMBER",
        "middle_name": "NICHELLE",
        "credential": "PT, DPT, OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1298731",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61243773",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "38952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.