Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Alexis Mazza, DPT

Individual provider Physical Therapist · NPI 1851029268

Amanda Alexis Mazza, DPT is a Physical Therapist in Private Practice in Lagrange, Georgia. Qualified in 2022, 4 years ago. Practices with P4 Physical Therapy Limited Partnership, a 64-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1805 Vernon Rd Ste A
Lagrange, GA 30240-3871
Phone: (706) 845-9383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1851029268
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 12, 2022
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice P4 Physical Therapy Limited Partnership — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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