Amanda Marriott
NPI 1639500200ActiveIndividual· Physical Therapist· La Porte, IN
Physical Therapist with Athletico Ltd, practicing in La Porte, Indiana. Medicare paid $40,078 for services to 97 patients in 2024.
Overview
| NPI | 1639500200 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 9, 2013 |
| Last updated in NPPES | Jul 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 05011291A | IN |
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 (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 97 |
|---|---|
| Services billed | 1,926 across 12 procedure codes |
| Paid by Medicare | $40,078 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Athletico LtdOttawa, IL · 2,200 clinicians
Other physical therapists in La Porte
- 1013133487
- 1043123086
- 1083628127
- 1184136665
- 1629207329
- 1811374580
- 1871402602
- 1407295769
- 1396527214
- 1093151953
- 1881886521
- 1326603234
All 15 physical therapists in La Porte · All physical therapists in Indiana