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

Amanda M Whitlock, MSPT

Individual provider Physical Therapist · NPI 1013166339

Amanda M Whitlock, MSPT is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2006, 20 years ago. Practices with Hulst Jepsen Physical Therapy Inc, a 133-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
20
Licensed in
IL, MI
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

4120 E Beltline Ave NE Ste 200
Grand Rapids, MI 49525-9655
Phone: (616) 365-2709
Fax: (616) 975-9248
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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 55010129933 (MI)
Physical Therapist Taxonomy 225100000X · Licence 070-018957 (IL)

Record details

NPI number1013166339
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorNo
NPI enumeratedSeptember 10, 2008
Last updated in NPPESJune 25, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Hulst Jepsen Physical Therapy Inc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Rapids