Active NPI
Amber Nicole Legrande, PT
- Physical Therapist
- Shallotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CPO60035T
- Practice address
- 5160 Ocean Hwy W
Shallotte, NC 28470-4012 - Phone
- (910) 332-3800
- Fax
- (910) 251-0421
- NPI assigned
- Jul 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4686 | NE | |
| Physical Therapist | 225100000X | CPO60035T | NC | Primary |
Addresses
Primary practice location
5160 Ocean Hwy W
Shallotte, NC 28470-4012
Mailing address
PO Box 5105
Belfast, ME 04915-5100
Phone (910) 332-3800
Other practice location 1
1501 Pine Lake Rd Ste 20
Lincoln, NE 68512-3692
Phone (402) 421-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1501 Pine Lake Rd
Suite 20
Lincoln, NE 68512-3692
Phone (402) 421-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Physical Therapy and Sports Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Lincoln Physical Therapy and Sports Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Lincoln Physical Therapy and Sports Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Lincoln Physical Therapy and Sports Rehab LLC | Physical Therapist | Past | Accepting new patients |
Locations
1501 Pine Lake Rd
Ste 20
Lincoln, NE 68512
Phone (402) 421-2700
6940 Van Dorn St
Ste 103
Lincoln, NE 68506
Phone (402) 483-4709
Organizations & group practices 4
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.
-
- Physical Therapist
- Lincoln, NE
- NPI 1679783963
-
- Physical Therapist
- Lincoln, NE
- NPI 1053512681
-
- Physical Therapist
- Georgetown, TX
- NPI 1881347623
-
- Physical Therapist
- Lincoln, NE
- NPI 1891846572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1942046313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "BELFAST",
"state": "ME",
"postal_code": "049155100",
"telephone_number": "910-332-3800",
"fax_number": "910-251-0421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5160 OCEAN HWY W",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284704012",
"telephone_number": "910-332-3800",
"fax_number": "910-251-0421"
}
],
"practiceLocations": [
{
"address_1": "1501 Pine Lake Rd Ste 20",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685123692",
"country_code": "US",
"telephone_number": "402-421-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEGRANDE",
"first_name": "AMBER",
"middle_name": "NICOLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-05",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4686",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CPO60035T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.