Amanda Illa Pickworth-Chrusciel, PT, DPT
NPI 1821656950ActiveIndividual· Physical Therapist· Northville Charter Township, MI
Physical Therapist (PT, DPT) with Back To You Rehab PLLC and 1 other group, practicing in Northville Charter Township, Michigan. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1821656950 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 4, 2019 |
| Last updated in NPPES | Feb 5, 2025 |
| Certified by provider | Feb 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501303770 | MI |
| Physical Therapy Assistant | 225200000X | 5502003904 | 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 | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Back To You Rehab PLLCRoyal Oak, MI · 13 clinicians
- Pryde Physical Therapy PLLCCanton, MI · 5 clinicians