Individual provider Active NPI

Amanda McEarl Tilyou, PT

  • Physical Therapist
  • Southport, NC
National Provider Identifier
1174017537
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18040 Issued in NC
Practice address
4002 Executive Park Blvd Ste 800
Southport, NC 28461-9069
Phone
(910) 477-6236
Fax
(910) 477-6357
NPI assigned
Jun 19, 2018
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18040 NC Primary

Addresses

Primary practice location

4002 Executive Park Blvd Ste 800
Southport, NC 28461-9069

Mailing address

4002 Executive Park Blvd Ste 800
Southport, NC 28461-9069
Phone (910) 477-6236

Other practice location 1

292 Commerce Ave
Southern Pines, NC 28387-7059
Phone (910) 757-0408

Other names 1

  • Amanada McEarl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WA, CA, MD, DC, NM6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20180814001771 NC Practitioner - Physical Therapist in Private Practice 1759630494 Reassigns benefits to 1 organization
I20241017004398 WA Practitioner - Physical Therapist in Private Practice 1759630494 Reassigns benefits to 1 organization
I20250107004310 CA Practitioner - Physical Therapist in Private Practice 1759630494 Reassigns benefits to 1 organization
I20250416000320 MD Practitioner - Physical Therapist in Private Practice 1759630494 Reassigns benefits to 1 organization
I20250416000462 DC Practitioner - Physical Therapist in Private Practice 1759630494 Reassigns benefits to 1 organization
I20251224000699 NM Practitioner - Physical Therapist in Private Practice 1759630494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Del Valle Physical Therapy and RehabilitationGroup PAC ID 9537077714, 11 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

2445 Missouri Ave
Suite a
Las Cruces, NM 88001-5111
Phone (575) 523-8080

4610 Holly Tree Rd
Wilmington, NC 28409-8556
Phone (910) 859-8296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18040NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince Jan 6, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 8, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 8, 2025 Accepting new patients
Peak Performance Sports and Physical Therapy, LLC Physical Therapist CurrentSince Oct 27, 2024 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jan 6, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Apr 8, 2025 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Carolina Strong Physical Therapy, LLC Physical Therapist CurrentSince Jun 18, 2018 Accepting new patients
Del Valle Physical Therapy and Rehabilitation Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
TLC Rehab, LLC Physical Therapist Past Accepting new patients
TLC Rehab LLC Physical Therapist Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
TLC Rehab, LLC Physical Therapist Past Accepting new patients
TLC Rehab, LLC Physical Therapist Past Accepting new patients

Locations

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

2625 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 210-8500

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

292 Commerce Ave
Southern Pnes, NC 28387
Phone (910) 757-0408

3960 Executive Park Blvd
Unit 5
Southport, NC 28461
Phone (910) 357-5748

4002 Executive Park Blvd
Ste 800
Southport, NC 28461
Phone (910) 357-5748

2445 Missouri Ave
Ste A
Las Cruces, NM 88001
Phone (575) 523-8080

19505 7th Ave NE
Poulsbo, WA 98370
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: amanda.tilyou.p1@direct.muirortho.nextgenshare.com
  • Direct secure messaging: amanda.tilyou.p2@direct.muirortho.nextgenshare.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1174017537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 EXECUTIVE PARK BLVD STE 800",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619069",
            "telephone_number": "910-477-6236",
            "fax_number": "910-477-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 EXECUTIVE PARK BLVD STE 800",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619069",
            "telephone_number": "910-477-6236",
            "fax_number": "910-477-6357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Commerce Ave",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283877059",
            "country_code": "US",
            "telephone_number": "910-757-0408",
            "fax_number": "910-757-0413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILYOU",
        "first_name": "AMANDA",
        "middle_name": "MCEARL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "18040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANADA",
            "last_name": "MCEARL",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.