Individual provider Active NPI

Amanda Linee Glover, PT, DPT

  • Physical Therapist
  • Denton, TX
National Provider Identifier
1952995953
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1343359 Issued in TX
Practice address
3100 Unicorn Lake Blvd Ste 120
Denton, TX 76210-1544
Phone
(469) 535-6813
NPI assigned
Feb 22, 2021
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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 1343359 TX Primary

Addresses

Primary practice location

3100 Unicorn Lake Blvd Ste 120
Denton, TX 76210-1544

Mailing address

3100 Unicorn Lake Blvd Ste 120
Denton, TX 76210-1544
Phone (469) 535-6813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220125001169 TX Practitioner - Physical Therapist in Private Practice 4486046455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians
Doctx3 PLLCGroup PAC ID 1355620055, 85 clinicians

Practice addresses (Care Compare)

2535 W Oak St
Suite 101
Denton, TX 76201-2331
Phone (940) 514-8490

3100 Unicorn Lake Blvd
Suite 120
Denton, TX 76210-1544
Phone (469) 535-6813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1343359TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC CurrentSince Aug 23, 2024 Accepting new patients
Doctx3 PLLC CurrentSince Aug 23, 2024 Accepting new patients
Nto Physician Partners, PLLC Past Accepting new patients
Xzact Therapy and Aquatics LLC Physical Therapist PastSince Mar 1, 2021 Accepting new patients

Locations

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

3100 Unicorn Lake Blvd
Ste 120
Denton, TX 76210
Phone (214) 444-5558

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

Organizations & group practices 5

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1952995953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 UNICORN LAKE BLVD STE 120",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762101544",
            "telephone_number": "469-535-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 UNICORN LAKE BLVD STE 120",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762101544",
            "telephone_number": "469-535-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "AMANDA",
        "middle_name": "LINEE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1343359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.

Verify at the official NPI Registry.