| Mrs Amanda Joy Vandervort, MPT | |
|
5520 Broadview Rd Frnt, Parma, OH 44134-1605 | |
| (216) 749-6650 | |
| (216) 749-1655 |
| Full Name | Mrs Amanda Joy Vandervort |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 5520 Broadview Rd Frnt, Parma, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174520712 | NPI | - | NPPES |
| 2353797 | Medicaid | OH | |
| 11896519 | Other | OH | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT010156 (Ohio) | Primary |
| Provider Name | Therapy In Motion |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1578708871 PECOS PAC ID: 0941363485 Enrollment ID: O20090420000123 |
| Provider Name | At Home By Enhance Therapies Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20220714002625 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Joy Vandervort, MPT 5000 Rockside Rd Ste 500, Independence, OH 44131-2178 Ph: (216) 459-2846 | Mrs Amanda Joy Vandervort, MPT 5520 Broadview Rd Frnt, Parma, OH 44134-1605 Ph: (216) 749-6650 |
Mrs. Christine Marie Hilts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5273 Broadview Rd, Parma, OH 44134 Phone: 216-749-6650 | |
Mr. Gordon L. King, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6115 Powers Blvd, Suite 100, Parma, OH 44129 Phone: 440-888-7855 Fax: 440-888-7862 | |
Ms. Trina Monique Fields, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8107 Ackley Rd, Parma, OH 44129 Phone: 440-983-9458 | |
Richard Swierad, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6115 Powers Blvd, Parma, OH 44129 Phone: 440-842-1570 Fax: 440-842-8230 | |
Dennis James Stenger, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6115 Powers Blvd Ste 100, Parma, OH 44129 Phone: 440-888-7855 Fax: 440-888-7862 | |
Mrs. Nicolle Daniele Mckinley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5520 Broadview Rd Frnt, Parma, OH 44134 Phone: 216-749-6650 Fax: 216-749-1655 |