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

Amanda Marriott

Individual provider Physical Therapist · NPI 1639500200

Amanda Marriott is a Physical Therapist in Private Practice in LA Porte, Indiana. Qualified in 2013, 13 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
13
Licensed in
IN
In the registry since
2013
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Practice location Address checks out

2338 N US Highway 35
LA Porte, IN 46350-8380
Phone: (219) 325-0060
Fax: (219) 325-9919
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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 05011291A (IN)

Record details

NPI number1639500200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2013
Last updated in NPPESJuly 12, 2018
Mailing address600 Oakmont Ln, Ste 600c, Westmont, IL 60559-5548

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in LA Porte