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

Amy Pelotte

Individual provider Physical Therapy Assistant · NPI 1639822760

Amy Pelotte is an Occupational Therapist in Private Practice in Lancaster, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Functional Freedom LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

105 Heritage Rd
Lancaster, PA 17602-1597
Phone: (717) 663-8307
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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 OC018274 (PA)
Physical Therapy Assistant Taxonomy 225200000X · Licence TEI001835 (PA)

Record details

NPI number1639822760
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2022
Last updated in NPPESJanuary 29, 2022
Certification dateJanuary 29, 2022
Mailing address1404 Windemere Ln, Landisville, PA 17538-1560

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Functional Freedom Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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