Individual provider Active NPI

Amber Lynn Brady, DPT

  • Physical Therapist
  • The Villages, FL
National Provider Identifier
1922246198
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40286 Issued in FL
Practice address
2518 Burnsed Blvd Ste 441
The Villages, FL 32163-2704
Phone
(352) 457-2515
NPI assigned
Jan 27, 2009
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40286 FL Primary
Physical Therapist 225100000X 2010024110 MO
Physical Therapist 225100000X 5899 SC
Physical Therapist 225100000X 12169 NC
Physical Therapist 225100000X 070-19876 IL

Addresses

Primary practice location

2518 Burnsed Blvd Ste 441
The Villages, FL 32163-2704

Mailing address

6747 Newell Loop
The Villages, FL 34762-7002
Phone (803) 309-3502

Other names 1

  • Amber Lynn Henry Former name

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

LicenseStateTypeSpecialty
40286FLMDPhysical Therapist
070-19876ILMDPhysical Therapist
2010024110MOMDPhysical Therapist
12169NCMDPhysical Therapist
5899SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Wellness and Physical Therapy Physical Therapist CurrentSince Jul 7, 2024 Accepting new patients
Ati Holdings Missouri, LLC Physical Therapist PastSince Sep 8, 2014 Accepting new patients
FLS Physical Therapy Associates PC Physical Therapist PastSince Feb 24, 2014 Accepting new patients

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: amber.brady.p12@direct.athleticoltd.nextgenshare.com
  • Direct secure messaging: amber.brady.p2@direct.athleticoltd.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1922246198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6747 NEWELL LOOP",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "347627002",
            "telephone_number": "803-309-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 BURNSED BLVD STE 441",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632704",
            "telephone_number": "352-457-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "40286",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2010024110",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5899",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12169",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-19876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "HENRY",
            "middle_name": "LYNN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.