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

Miss. Amanda Woodruff

Individual provider Rehabilitation Practitioner · NPI 1912359191

Miss. Amanda Woodruff is a Physical Therapist in Private Practice in Royal Oak, Michigan. Qualified in 2022, 4 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

29480 Woodward Ave
Royal Oak, MI 48073-0903
Phone: (248) 541-9121
Fax: (248) 541-8386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501301994 (MI)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1912359191
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2016
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Royal Oak