| Amanda Marriott, | |
|
2338 N Us Highway 35, La Porte, IN 46350-8380 | |
| (219) 325-0060 | |
| (219) 325-9919 |
| Full Name | Amanda Marriott |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 2338 N Us Highway 35, La Porte, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639500200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05011291A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2187 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20110309000231 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Marriott, 600 Oakmont Ln, Ste 600c, Westmont, IL 60559-5548 Ph: (630) 575-6250 | Amanda Marriott, 2338 N Us Highway 35, La Porte, IN 46350-8380 Ph: (219) 325-0060 |
Laporte Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 I St, La Porte, IN 46350 Phone: 219-324-1700 |
Elite Performance Academy And Wellness Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 613 E Lincolnway, La Porte, IN 46350 Phone: 941-405-5501 |
Mr. Steven K Lawrence, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 I St Ste 100, La Porte, IN 46350 Phone: 219-324-1730 Fax: 219-324-1735 |
Stephanie Daube, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1007 Lincolnway, La Porte, IN 46350 Phone: 219-326-2621 Fax: 219-326-2697 |
Behdad Tahayori, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Washington St, The Crossing Rehabilitation Center, La Porte, IN 46350 Phone: 219-326-2397 |
Dr. Diane Margaret Rich, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 I St, Ste 100, La Porte, IN 46350 Phone: 219-324-1730 |
Athletico Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 2338 N Us Highway 35, La Porte, IN 46350 Phone: 219-325-0060 Fax: 219-325-9919 |