Gregory Carter Amador, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2426 Issued in OR

Practice address

1845 Hwy 126
Suite a-1
Florence, OR 97439-9626

Phone

(541) 902-0231

Fax

(541) 902-7805

NPI assigned

Dec 28, 2007

Last updated

Dec 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

• Southwest Physical Therapy LLC

  dba John Breuer Rehab Services

  • Rehabilitation Clinic/Center
  • Coos Bay, OR
  • NPI 1851407464
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1568646396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 HWY 126",
            "address_2": "SUITE A-1",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399626",
            "telephone_number": "541-902-0231",
            "fax_number": "541-902-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 HWY 126",
            "address_2": "SUITE A-1",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399626",
            "telephone_number": "541-902-0231",
            "fax_number": "541-902-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADOR",
        "first_name": "GREGORY",
        "middle_name": "CARTER",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "2426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1918 Winter Street Operating Co LLC (Safeway Pharmacy #0363)
• Isabella Addi
• Travis Alcorn, DDS
• Terri L Alexander
• All-Med, Inc
• Barbara C Anderson, FNP
• Steffan G Anderson, M.D., PH.D.
• Michelle Renee Angilletta, LMT
• Serena Appel, LPC, AT-R
• Heather Jo Bailey, LCSW

• Orthopedic Physical Therapist in Florence, OR
• Providers in Florence, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.