Individual provider Active NPI

Amanda M Johnson, PT, DPT

  • Physical Therapist
  • Galveston, TX
National Provider Identifier
1497625982
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1364723 Issued in TX
Practice address
110 Trout St
Galveston, TX 77550-3134
Phone
(618) 499-0243
Fax
(888) 661-9875
NPI assigned
Nov 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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 1364723 TX Primary

Addresses

Primary practice location

110 Trout St
Galveston, TX 77550-3134

Mailing address

110 Trout St
Galveston, TX 77550-3134
Phone (618) 499-0243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223000640 TX Practitioner - Physical Therapist in Private Practice 9436630050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 Trout St
Galveston, TX 77550-3134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1364723TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Johnson Physical Therapy and Wellness, PLLC Physical Therapist CurrentSince Jan 19, 2026 Accepting new patients

Locations

2910 53rd St
Ste 5
Galveston, TX 77551
Phone (618) 499-0243

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": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1497625982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TROUT ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775503134",
            "telephone_number": "618-499-0243",
            "fax_number": "888-661-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TROUT ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775503134",
            "telephone_number": "618-499-0243",
            "fax_number": "888-661-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1364723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.