Amanda Robinett, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012015A Issued in IN

Practice address

4011 W Jefferson Blvd Ste 175
Fort Wayne, IN 46804-6848

Phone

(260) 900-2437

NPI assigned

Nov 29, 2018

Last updated

Sep 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Cupp Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Protailored Physical Therapy LLCGroup PAC ID 4385962497, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Protailored Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Fort Wayne, IN
  • NPI 1063805042
  Medicare reassignment Care Compare group NPD
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Fishers, IN
  • NPI 1902350457
  Medicare reassignment NPD
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975
  NPD

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1235609553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 MAYROCK DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468180056",
            "telephone_number": "419-822-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 W JEFFERSON BLVD STE 175",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046848",
            "telephone_number": "260-900-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12722 Tonkel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468458201",
            "country_code": "US",
            "telephone_number": "260-739-0300",
            "fax_number": "260-818-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 W Washington Center Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468254155",
            "country_code": "US",
            "telephone_number": "260-487-9910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINETT",
        "first_name": "AMANDA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012015A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CUPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary L Roberts, PHARMD
• Ellen L Robertson, FNP
• Randolph Harlen Robertson, MD
• Roy W Robertson, MD
• Laurette C Robey, MD
• Summer Robinette
• Andrea Renee Robinson, MSW
• Beth Robinson, MA
• Billy Joe Robinson
• Dayla Ryan Robinson

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.