Active NPI
Amanda Jo Temple, MPT
- Physical Therapist
- Lookout Mountain, TN
National Provider Identifier
1790989697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7833
- Practice address
- 820 Scenic Hwy Ste B
Mountain Center Building
Lookout Mountain, TN 37350-1474 - Phone
- (423) 825-1393
- Fax
- (423) 825-6147
- NPI assigned
- Jun 13, 2007
- Last updated
- Feb 4, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT7833 | TN | Primary |
Addresses
Primary practice location
820 Scenic Hwy Ste B
Mountain Center Building
Lookout Mountain, TN 37350-1474
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other names 1
- Amanda Jo Morris
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT7833 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296777600000",
"number": "1790989697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 SCENIC HWY STE B",
"address_2": "MOUNTAIN CENTER BUILDING",
"city": "LOOKOUT MOUNTAIN",
"state": "TN",
"postal_code": "373501474",
"telephone_number": "423-825-1393",
"fax_number": "423-825-6147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "AMANDA",
"middle_name": "JO",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2011-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT7833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "MORRIS",
"middle_name": "JO",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lookout Mountain, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.