Amanda Gayle McCullough, PT
NPI 1629013602ActiveIndividual· Physical Therapist· Clare, MI
Physical Therapist (PT) with Fox Rehabilitation Services Mi LLC and 1 other group, practicing in Clare, Michigan. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1629013602 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Jun 17, 2006 |
| Last updated in NPPES | Dec 26, 2024 |
| Certified by provider | Dec 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501011835 | MI |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Fox Rehabilitation Services Mi LLCCanton, MI · 83 clinicians
- Tmi East IncJenison, MI · 58 clinicians
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All 17 physical therapists in Clare · All physical therapists in Michigan