Amanda Rene Pratt, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24117 Issued in FL

Practice address

6639 Southpoint Pkwy
Ste. 103
Jacksonville, FL 32216-8041

Phone

(904) 296-4140

Fax

(904) 279-0963

NPI assigned

Oct 20, 2010

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

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.

• Smart Body Physical Therapy Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1396767018
  NPD (past)

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1629388962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6639 SOUTHPOINT PKWY",
            "address_2": "STE. 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639 SOUTHPOINT PKWY",
            "address_2": "STE. 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168041",
            "telephone_number": "904-296-4140",
            "fax_number": "904-279-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "AMANDA",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Prater Kudlats, DMD
• Ryan Prater, DPT
• Shawn Gregory Prather, LMT, RBT
• Sarah R Pratico, DNP, APRN, FNP-BC
• Joanne Landrum Pratt-Dannals, MA LMFT CLINICAL MEM
• Ebony N Pratt, M.D.
• Hallie O Pratt, PT
• Karen Ann Pratt, MSN, APRN, NP-C
• Terri Pratt, AUD
• Joseph Praver

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.