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

Amanda Logan Marcic

Individual provider Physical Therapist · NPI 1386256543

Amanda Logan Marcic is a Physical Therapist in Private Practice in Lowell, Massachusetts. Qualified in 2020, 6 years ago. Practices with Imago Rehab, Inc, a 15-clinician group and works from 2 locations. Licensed in Florida, North Carolina, New Hampshire and New Jersey and 2 more.

Years since qualifying
6
Licensed in
FL, NC, NH, NJ, TN, TX
In the registry since
2020
Specialties on file
6

Practice location Address checks out

110 Canal St Ste 3
Lowell, MA 01852-4589
Phone: (888) 855-2674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9621 Bitter Melon Dr, Angier, NC 27501-5917 — (919) 275-9675

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P23013 (NC)
Physical Therapist Taxonomy 225100000X · Licence CP035261T (TX)
Physical Therapist Taxonomy 225100000X · Licence PT36121 (FL)
Physical Therapist Taxonomy 225100000X · Licence CP037185T (TN)
Physical Therapist Taxonomy 225100000X · Licence CP035282T (NH)
Physical Therapist Taxonomy 225100000X · Licence CP035281T (NJ)

Record details

NPI number1386256543
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2020
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address103 Fox Den Ct, Cary, NC 27513-9100

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Imago Rehab, Inc — 15 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

Other providers in Lowell