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

Amanda Lynn Ponce de Leon, DPT

Individual provider Physical Therapist · NPI 1588286132

Amanda Lynn Ponce de Leon, DPT is a Physical Therapist in Granger, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
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

12171 Covered Wagon Ct
Granger, IN 46530-7100
Phone: (317) 373-7882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05013443A (IN)

Record details

NPI number1588286132
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 16, 2020
Last updated in NPPESMay 16, 2020
Certification dateMay 16, 2020

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