Healthcare Provider Details

I. General information

NPI: 1447107727
Provider Name (Legal Business Name): AMANDA GREGORY-RAMIREZ PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10801 ENDEAVOUR WAY STE A
SEMINOLE FL
33777-1671
US

IV. Provider business mailing address

5050 BURLINGTON AVE N
SAINT PETERSBURG FL
33710-8238
US

V. Phone/Fax

Practice location:
  • Phone: 727-201-2314
  • Fax: 727-865-5809
Mailing address:
  • Phone: 727-201-2314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA29938
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: