Amber Cross DPT, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

AMBER CROSS DPT, LLC

Practice address

494 Hayes St
Gold Hill, OR 97525-9418

Phone

(541) 621-6328

NPI assigned

Jan 27, 2023

Last updated

Jan 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amber Katrina Cross, DPTNPI 1841738903

Title

Owner/Physical Therapist

Phone

(541) 621-6328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Katrina Cross, DPT

  • Physical Therapist
  • Medford, OR
  • NPI 1841738903
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1598471021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1021",
            "city": "GOLD HILL",
            "state": "OR",
            "postal_code": "975251021",
            "telephone_number": "541-621-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 HAYES ST",
            "city": "GOLD HILL",
            "state": "OR",
            "postal_code": "975259418",
            "telephone_number": "541-621-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER CROSS DPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-621-6328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Glenn Brooks, DMD
• Brenda L Daugherty
• Chelsey Dow, BSN, RN
• Ana L Foster, RN
• Glenn Alexander Frum, R.PH.

• Physical Therapy Clinic/Center in Gold Hill, OR
• Providers in Gold Hill, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.