Amanda Nicole Larue, PTA
NPI 1114159100ActiveIndividual· Physical Therapy Assistant· Boca Raton, FL
Physical Therapy Assistant (PTA) in Boca Raton, Florida, licensed in NC and TX, with an NPI issued in August 2009.
Overview
| NPI | 1114159100 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | Yes |
| NPI issued | Aug 10, 2009 |
| Last updated in NPPES | Aug 10, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 3719 | NC |
| Physical Therapy Assistant | 225200000X | 2070555 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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