Individual provider Active NPI

Amanda McBrayer

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1669235875
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5434 Issued in AR
Practice address
1900 Aldersgate Rd
Little Rock, AR 72205-6620
Phone
(501) 821-5459
Fax
(501) 821-6116
NPI assigned
Jan 31, 2024
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 PT5434 AR Primary

Addresses

Primary practice location

1900 Aldersgate Rd
Little Rock, AR 72205-6620

Mailing address

1900 Aldersgate Rd
Little Rock, AR 72205-6620
Phone (501) 821-5459

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251101000270 TX Practitioner - Physical Therapist in Private Practice 2668961285 Reassigns benefits to 2 organizations

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
Sports Medicine Associates of San Antonio PAGroup PAC ID 3274525548, 55 clinicians

Practice addresses (Care Compare)

10622 State Hwy 151
Suite 204
San Antonio, TX 78251-4864
Phone (210) 699-8326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5434ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince Oct 22, 2025 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Oct 22, 2025 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Oct 22, 2025 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Oct 22, 2025 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients
Kid Success, Inc. Past Accepting new patients

Locations

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

12500 Judson Rd
Ste 201
Live Oak, TX 78233
Phone (210) 314-1071

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

1 Camino Santa Maria St
San Antonio, TX 78228
Phone (210) 431-5043

10622 State Highway 151
Ste 204
San Antonio, TX 78251
Phone (210) 798-8576

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

2803 NE Loop 410
Ste 106
San Antonio, TX 78218
Phone (210) 436-8520

Organizations & group practices 6

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1669235875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ALDERSGATE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056620",
            "telephone_number": "501-821-5459",
            "fax_number": "501-821-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ALDERSGATE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056620",
            "telephone_number": "501-821-5459",
            "fax_number": "501-821-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRAYER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.