Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Jayashki Nugaliyadda Hanson, PT

Individual provider Physical Therapy Assistant · NPI 1295231389

Amanda Jayashki Nugaliyadda Hanson, PT is a Physical Therapist in Private Practice in Southfield, Michigan. Qualified in 2023, 3 years ago. Practices with The Porretta Center for Orthopaedic Surgery, PLLC, a 23-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

22250 Providence Dr Ste 405
Southfield, MI 48075-6212
Phone: (866) 974-2673
Fax: (866) 939-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2700 E Grand River Ave, Howell, MI 48843-8550 — (517) 225-3040
  • 14800 Farmington Rd, Livonia, MI 48154-5461 — (734) 743-8880
  • 26750 Providence Pkwy Ste 240, Novi, MI 48374-1211 — (248) 687-7440
  • 19930 Poinciana, Redford, MI 48240-1654 — (734) 228-4101

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501303372 (MI)
Physical Therapy Assistant Taxonomy 225200000X · Licence 5502005497 (MI)

Record details

NPI number1295231389
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 5, 2018
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Porretta Center For Orthopaedic Surgery, Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southfield