Amanda C. Kinley, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT008278 Issued in GA

Practice address

1336 Highway 54 W
BLDG 500
Fayetteville, GA 30214-4535

Phone

(770) 461-6142

Fax

(770) 461-6271

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Physical Therapy of Fayette

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
  • NPI 1447294228
  NPD (past)
• Advanced Physical Therapy of Fayette, LLC

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
  • NPI 1346388725

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1528024395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 HIGHWAY 54 W",
            "address_2": "BLDG 500",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144535",
            "telephone_number": "770-461-6142",
            "fax_number": "770-461-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 HIGHWAY 54 W",
            "address_2": "BLDG 500",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144535",
            "telephone_number": "770-461-6142",
            "fax_number": "770-461-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINLEY",
        "first_name": "AMANDA",
        "middle_name": "C.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT008278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale L King, LCSW
• Jasmane King, RBT
• Melody Sunderland King, LCSW
• Vanessa King, CST, CPC-A
• Kingz Court Autism Center
• Jaquavious Kinsey, RBT
• Meghan Kirby, PA-C
• Mackenzie Anna Kirchner, PA
• Linda S Kirkman, NP
• Keshia Kirtz, LMSW

• All providers in Fayetteville, GA
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.