Individual provider Active NPI

Amanda Grant, PT, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1902482524
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005399 Issued in KY
Practice address
9700 Stonestreet Rd
Louisville, KY 40272-2884
Phone
(502) 995-2415
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005399 KY Primary

Addresses

Primary practice location

9700 Stonestreet Rd
Louisville, KY 40272-2884

Mailing address

9700 Stonestreet Rd
Louisville, KY 40272-2884
Phone (502) 995-2415

Other practice location 1

9700 Stonestreet Rd
Louisville, KY 40272-2884
Phone (502) 995-2415

Other practice location 2

9700 Stonestreet Rd
Louisville, KY 40272-2884
Phone (502) 995-2415

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

LicenseStateTypeSpecialty
005399KYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1902482524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 STONESTREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722884",
            "telephone_number": "502-995-2415",
            "fax_number": "502-995-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 STONESTREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722884",
            "telephone_number": "502-995-2415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 Stonestreet Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402722884",
            "country_code": "US",
            "telephone_number": "502-995-2415",
            "fax_number": "502-995-2483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 Stonestreet Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402722884",
            "country_code": "US",
            "telephone_number": "502-995-2415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "AMANDA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.