Individual provider Active NPI

Amanda Whitney Gregory, PT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1952572760
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00010565 Issued in WA
Practice address
University of Washington - Haring Center
PO Box 357925
Seattle, WA 98195-7925
Phone
(206) 543-4011
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PT00010565 WA Primary

Addresses

Primary practice location

University of Washington - Haring Center
PO Box 357925
Seattle, WA 98195-7925

Mailing address

University of Washington - Haring Center
PO Box 357925
Seattle, WA 98195-7925
Phone (206) 543-4011

Other practice location 1

6511 NE 18th St
Vancouver, WA 98661-6869
Phone (360) 759-4917

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
PT00010565WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952572760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WASHINGTON - HARING CENTER",
            "address_2": "PO BOX 357925",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957925",
            "telephone_number": "206-543-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WASHINGTON - HARING CENTER",
            "address_2": "PO BOX 357925",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981957925",
            "telephone_number": "206-543-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6511 NE 18th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986616869",
            "country_code": "US",
            "telephone_number": "360-759-4917",
            "fax_number": "360-759-4921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "AMANDA",
        "middle_name": "WHITNEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.