Active NPI
Amanda K Gottschalk, MPT
- Physical Therapist
- Altamonte Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19571
- Practice address
- 901 Douglas Ave Ste 105
Altamonte Springs, FL 32714-2058 - Phone
- (407) 865-7153
- Fax
- (407) 865-7159
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT19571 | FL | |
| Physical Therapist | 225100000X | P17203 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | PT020341 | OH | |
| Physical Therapist | 225100000X | PT19571 | FL | Primary |
Addresses
Primary practice location
901 Douglas Ave Ste 105
Altamonte Springs, FL 32714-2058
Mailing address
336 Broad St Ste 203
Rome, GA 30161-3006
Phone (407) 865-7153
Other practice location 1
303 N 35th St
Morehead City, NC 28557-3105
Phone (252) 247-2738
Other practice location 2
224 W Central Pkwy Ste 1018
Altamonte Springs, FL 32714-2545
Phone (407) 389-1092
Other practice location 3
5844 Darrow Rd
Hudson, OH 44236-3864
Phone (330) 650-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3340 W Market St
Suite 200
Fairlawn, OH 44333-3381
PO Box
Cleveland, OH 44192
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT19571 | FL | MD | Physical Therapist |
| PT020341 | OH | MD | Orthopedic Physical Therapist |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Health Services, Inc | Past | Accepting new patients | |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Special Hospital
- Akron, OH
- NPI 1669669917
-
- Durable Medical Equipment & Medical Supplies
- Orlando, FL
- NPI 1992085302
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1801019708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 BROAD ST STE 203",
"city": "ROME",
"state": "GA",
"postal_code": "301613006",
"telephone_number": "407-865-7153",
"fax_number": "407-865-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 DOUGLAS AVE STE 105",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142058",
"telephone_number": "407-865-7153",
"fax_number": "407-865-7159"
}
],
"practiceLocations": [
{
"address_1": "303 N 35th St",
"address_purpose": "LOCATION",
"city": "Morehead City",
"state": "NC",
"postal_code": "285573105",
"country_code": "US",
"telephone_number": "252-247-2738",
"fax_number": "252-240-3882",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "224 W Central Pkwy Ste 1018",
"address_purpose": "LOCATION",
"city": "Altamonte Springs",
"state": "FL",
"postal_code": "327142545",
"country_code": "US",
"telephone_number": "407-389-1092",
"fax_number": "407-389-1097",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5844 Darrow Rd",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "OH",
"postal_code": "442363864",
"country_code": "US",
"telephone_number": "330-650-6767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOTTSCHALK",
"first_name": "AMANDA",
"middle_name": "K",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT19571",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P17203",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "PT020341",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.