Active NPI
Amy Anderson, PT, DPT
- Physical Therapist
- Lawrenceville, GA
National Provider Identifier
1730556325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012113
- Practice address
- 545 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3389 - Phone
- (678) 696-1120
- NPI assigned
- Aug 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0122222113 | GA | |
| Physical Therapist | 225100000X | PT012113 | GA | Primary |
Addresses
Primary practice location
545 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3389
Mailing address
545 Old Norcross Rd Ste 100
Lawrenceville, GA 30046-3390
Phone (678) 696-1120
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT012113 | GA | MD | Physical Therapist |
| PT0122222113 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1730556325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 OLD NORCROSS RD STE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463390",
"telephone_number": "678-696-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 OLD NORCROSS RD",
"address_2": "SUITE 100",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463389",
"telephone_number": "678-696-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "AMY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT0122222113",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.