Individual provider Active NPI

Amy Fick, DPT, PT

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1679081392
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20751 Issued in NC
Practice address
1555 Cain Rd
Fayetteville, NC 28303-3078
Phone
(910) 423-5622
Fax
(910) 378-1755
NPI assigned
Jan 16, 2018
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 P20751 NC Primary

Addresses

Primary practice location

1555 Cain Rd
Fayetteville, NC 28303-3078

Mailing address

4602 Cumberland Rd
Fayetteville, NC 28306-2412
Phone (910) 423-5622

Other practice location 1

4602 Cumberland Rd
Fayetteville, NC 28306-2412
Phone (910) 423-5622

Other names 1

  • Ms. Amy Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P20751NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Playground, Inc Physical Therapist CurrentSince Sep 23, 2021 Accepting new patients

Locations

1555 Cain Rd
Fayetteville, NC 28303
Phone (910) 423-5622

4602 Cumberland Rd
Fayetteville, NC 28306
Phone (910) 423-5622

Organizations & group practices 1

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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1679081392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 CUMBERLAND RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062412",
            "telephone_number": "910-423-5622",
            "fax_number": "910-378-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 CAIN RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033078",
            "telephone_number": "910-423-5622",
            "fax_number": "910-378-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4602 Cumberland Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283062412",
            "country_code": "US",
            "telephone_number": "910-423-5622",
            "fax_number": "910-378-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FICK",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LEE",
            "prefix": "MS.",
            "credential": "DPT, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.