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

Amanda Nichole Smith, ATC/OTR

Individual provider Athletic Trainer · NPI 1144550963

Amanda Nichole Smith, ATC/OTR is an Occupational Therapist in Private Practice in Fort Wayne, Indiana. Qualified in 2012, 14 years ago. Practices with North Florida Surgeons PA, a 336-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

11143 Parkview Plaza Dr Ste 100
Fort Wayne, IN 46845-1728
Phone: (260) 266-7400
Fax: (260) 266-7439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 31005393A (IN)
Athletic Trainer Taxonomy 2255A2300X · Licence 36001238A (IN)

Record details

NPI number1144550963
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC/OTR
Sole proprietorNo
NPI enumeratedDecember 29, 2009
Last updated in NPPESJanuary 8, 2021
Certification dateJanuary 8, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice North Florida Surgeons Pa — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne