Individual provider Active NPI

Amanda Savoia Brown, CO

  • Orthotist
  • Charlotte, NC
National Provider Identifier
1720733173
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CO006445 Issued in NU
Practice address
10320 Feld Farm LN Ste 200
Charlotte, NC 28210-8484
Phone
(704) 707-0014
Fax
(704) 707-0017
NPI assigned
Feb 15, 2022
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CO006445 NU Primary

Addresses

Primary practice location

10320 Feld Farm LN Ste 200
Charlotte, NC 28210-8484

Mailing address

10320 Feld Farm LN Ste 200
Charlotte, NC 28210-8484
Phone (704) 707-0014

Other practice location 1

470 Copperfield Blvd NE
Concord, NC 28025-2404
Phone (704) 782-0908

Other practice location 2

1352 Matthews Township Pkwy Ste 101
Matthews, NC 28105-4985
Phone (704) 841-4388

Other identifiers 1

IdentifierTypeStateIssuer
CO006445OtherABC CERTIFIED ORTHOTIST (CO)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revolution Orthotics & Prosthetics, LLC Orthotist Current Accepting new patients

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1720733173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 FELD FARM LN STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108484",
            "telephone_number": "704-707-0014",
            "fax_number": "704-707-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 FELD FARM LN STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108484",
            "telephone_number": "704-707-0014",
            "fax_number": "704-707-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Copperfield Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252404",
            "country_code": "US",
            "telephone_number": "704-782-0908",
            "fax_number": "704-786-0469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1352 Matthews Township Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281054985",
            "country_code": "US",
            "telephone_number": "704-841-4388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMANDA",
        "middle_name": "SAVOIA",
        "credential": "CO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": "CO006445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC CERTIFIED ORTHOTIST (CO)",
            "identifier": "CO006445",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.