Active NPI
Amy Belote, PT
- Physical Therapist
- Duluth, GA
National Provider Identifier
1952830903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010232
- Practice address
- 11405 Medlock Bridge Rd
Duluth, GA 30097-1688 - Phone
- (470) 299-5049
- NPI assigned
- Jun 5, 2017
- Last updated
- Jun 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010232 | GA | Primary |
Addresses
Primary practice location
11405 Medlock Bridge Rd
Duluth, GA 30097-1688
Mailing address
4945 Bergen CT
Cumming, GA 30040-9707
Phone (678) 756-3575
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT010232 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496620800000",
"number": "1952830903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4945 BERGEN CT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300409707",
"telephone_number": "678-756-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11405 MEDLOCK BRIDGE RD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300971688",
"telephone_number": "470-299-5049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELOTE",
"first_name": "AMY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2017-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.