Individual provider Active NPI

Amy Schott, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1558734046
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P15983 Issued in NC
Practice address
2524 Flume Gate Dr
Raleigh, NC 27603-4550
Phone
(919) 418-0587
NPI assigned
Nov 5, 2015
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 P15983 NC Primary

Addresses

Primary practice location

2524 Flume Gate Dr
Raleigh, NC 27603-4550

Mailing address

2524 Flume Gate Dr
Raleigh, NC 27603-4550
Phone (919) 418-0587

Other identifiers 1

IdentifierTypeStateIssuer
1558734046MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160217001201 NC Practitioner - Physical Therapist in Private Practice 1153626841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Nov 16, 2015 Accepting new patients
Kidsprout Therapy Physical Therapist Past Accepting new patients

Locations

103 Parkway Office Ct
Ste 102
Cary, NC 27518
Phone (919) 615-3527

1613 Walnut St
Cary, NC 27511
Phone (919) 465-1422

400 Keisler Dr
Cary, NC 27518
Phone (919) 781-9078

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

Organizations & group practices 2

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": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1558734046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 FLUME GATE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276034550",
            "telephone_number": "919-418-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 FLUME GATE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276034550",
            "telephone_number": "919-418-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "AMY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558734046",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.