Amanda Brewer

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1520 Sunday Dr Ste 105
Raleigh, NC 27607-5254

Phone

(919) 420-1682

NPI assigned

Jun 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Brooks Gregory Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Evolve Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Fuquay Varina, NC
  • NPI 1811565047
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1881218345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR STE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075254",
            "telephone_number": "919-420-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BROOKS GREGORY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tara Faye Brenner, M.D.
• Rachel C Breslin, P.T.
• Michael Bressler
• Kristen R Brew, PEER SUPPORT
• Adam Benjamin Brewer, PA-C
• Amy Katherine Brewer, OTD, OTR/L
• Erich T. Brewer, DDS
• Hannah Michelle Brewer, RD
• Julie Anne Brewer, CRNA
• Lynnz Morgynn Brewer, DPT, ATC

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.