Individual provider Active NPI

Amanda Murphy Gravinese, PT, DPT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1629883939
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216842 Issued in VA
Practice address
5830 Granite Pkwy Ste 800
Plano, TX 75024-6775
Phone
(469) 694-0660
NPI assigned
Feb 12, 2025
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP042174T GA
Physical Therapist 225100000X CP037234T NC
Physical Therapist 225100000X CP055294T OR
Physical Therapist 225100000X 2305216842 VA Primary
Physical Therapist 225100000X CP060896T AZ
Physical Therapist 225100000X CP048560T TX

Addresses

Primary practice location

5830 Granite Pkwy Ste 800
Plano, TX 75024-6775

Mailing address

2796 Middlecoff PL
Falls Church, VA 22043-3514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250630000630 MA Practitioner - Physical Therapist in Private Practice 0547773913 Reassigns benefits to 2 organizations
I20260526003093 OR Practitioner - Physical Therapist in Private Practice 0547773913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Associates IncGroup PAC ID 0042116279, 319 clinicians
Mass Bay Spine and Sport Physical Therapy IncGroup PAC ID 6709815046, 9 clinicians

Practice addresses (Care Compare)

1251 E McAndrews Rd
Suite 108
Medford, OR 97504-6497
Phone (541) 773-1124

91 Carver Rd
Suite E2
Plymouth, MA 02360-4685
Phone (781) 319-0024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP048560TTXMDPhysical Therapist
2305216842VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Bay Spine & Sport Physical Therapy, Inc. Physical Therapist CurrentSince Jun 3, 2025 Accepting new patients
Orthopedic Rehab Associates PC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients

Locations

289 Saint George St
Unit 101
Duxbury, MA 02332
Phone (781) 829-9966

506 Plain St
Ste 101
Marshfield, MA 02050
Phone (781) 319-0024

91 Carver Rd
Ste E2
Plymouth, MA 02360
Phone (508) 747-2197

Organizations & group practices 3

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": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1629883939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 MIDDLECOFF PL",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 GRANITE PKWY STE 800",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246775",
            "telephone_number": "469-694-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVINESE",
        "first_name": "AMANDA",
        "middle_name": "MURPHY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP042174T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP037234T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "CP055294T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216842",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP060896T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP048560T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.