Amanda Joy Vandervort, MPT

Physical Therapist · Parma, OH

Individual Active NPI

NPI number 1174520712

Practice location

5520 Broadview Rd FRNT
Parma, OH 44134-1605
Phone
(216) 749-6650
Fax
(216) 749-1655

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NPI record

NPI
1174520712
Entity type
Individual (Type 1)
Enumeration date
June 28, 2005
Last updated
November 6, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT010156 OH

Mailing address

5000 Rockside Rd Ste 500
Independence, OH 44131-2178
Phone
(216) 459-2846
Fax
(216) 901-2803

Other practice locations (1)

  • 435 W Liberty St, Medina, OH 44256-2221 · (216) 749-6650

About Amanda Vandervort

Amanda Joy Vandervort, MPT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 5520 Broadview Rd FRNT, Parma, OH 44134-1605. The NPI number 1174520712 was assigned on June 28, 2005 and the record was last updated on November 6, 2019.

Amanda Vandervort lists a license in the registry: #PT010156 (OH) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Joy Vandervort, MPT?

The NPI number is 1174520712.

What is the phone number of Amanda Vandervort?

The phone number listed for the practice location is (216) 749-6650.

Where is Amanda Vandervort located?

5520 Broadview Rd FRNT, Parma, OH 44134-1605.

What is the taxonomy code for Amanda Vandervort?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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