Individual provider Active NPI

Amanda Irwin, DPT

  • Physical Therapist
  • Berlin, MD
National Provider Identifier
1306718333
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11204 Racetrack Rd Ste 101
Berlin, MD 21811-3370
Phone
(410) 208-1525
Fax
(410) 208-1527
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 MD Primary

Addresses

Primary practice location

11204 Racetrack Rd Ste 101
Berlin, MD 21811-3370

Mailing address

11204 Racetrack Rd Ste 101
Berlin, MD 21811-3370
Phone (410) 208-1525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217003350 MD Practitioner - Physical Therapist in Private Practice 1951881077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
AquaworxGroup PAC ID 4082891759, 8 clinicians

Practice addresses (Care Compare)

11204 Racetrack Rd
Suite 101
Berlin, MD 21811-3370
Phone (410) 208-1525

12472 Sea Oaks LN
Unit 1
Berlin, MD 21811-2654
Phone (410) 208-1525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30657MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aquaworx Physical Therapist CurrentSince Dec 21, 2025 Accepting new patients

Locations

11204 Racetrack Rd
Ste 101
Ocean Pines, MD 21811
Phone (410) 208-1525

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1306718333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11204 RACETRACK RD STE 101",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113370",
            "telephone_number": "410-208-1525",
            "fax_number": "410-208-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11204 RACETRACK RD STE 101",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113370",
            "telephone_number": "410-208-1525",
            "fax_number": "410-208-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.